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Western Slope Neuromonitoring LLC

Specialist/Technologist, Other, Electroneurodiagnostic in Tulsa, OK. Organization (NPI-2).

NPI number1336770908
StatusActive
Last updated in NPPESJan 31, 2020

Details

NPI
1336770908
Entity type
Organization (NPI-2)
Legal business name
Western Slope Neuromonitoring LLC
Organization subpart
No
Enumeration date
Jan 31, 2020
Certification date
Jan 31, 2020
Last updated
Jan 31, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic––Yes

Practice location

Dept 1137
Tulsa, OK 74182-0001

Phone 720-287-3093 · Fax 720-287-3195

Mailing address

Dept 1137
Tulsa, OK 74182-0001

Phone 720-287-3093 · Fax 720-287-3195

Authorized official

Brian Witwer
Owner
7202873093

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