Individual provider · Type 1 NPI
Casey Ryko Jestrovich, CNIM, R. EEG T
Electroneurodiagnostic Specialist/Technologist · Grand Junction, CO
NPI number
1538635982
Active
Practice location
2318 Hall Ave
Grand Junction, CO 81501-6234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 99-187-0511 (CO) |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1538635982
Casey Ryko Jestrovich, CNIM, R. EEG T's National Provider Identifier is 1538635982, issued on Oct 23, 2018. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Grand Junction, CO. The record was last updated on Oct 23, 2018.