Advanced Neuro Monitoring LLC
Specialist/Technologist, Other, Surgical Technologist in Tulsa, OK. Organization (NPI-2).
NPI number1922409903
StatusActive
Last updated in NPPESSep 10, 2014
Details
- NPI
- 1922409903
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Neuro Monitoring LLC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2014
- Last updated
- Sep 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZS0410X | Specialist/Technologist, Other, Surgical Technologist | – | – | Yes |
Practice location
9521 Riverside Pkwy Ste BSute 338
Tulsa, OK 74137-7422
Phone 214-675-0905 · Fax 214-317-4888
Mailing address
Po Box 108809Oklahoma City, OK 73101-8809
Phone 214-675-0905 · Fax 214-317-4888
Authorized official
Trase Mahan
Manager
2146750905
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