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NPI Profile for JUSTIN J HANNEGAN in GOLDEN, CO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Electroneurodiagnostic |
246ZE0600X |
| NPI # | 1255508313 |
|
| Status | Active | |
| Credentials | CNIM | |
| Entity | Individual | |
| Enumeration date | 05/08/2008 | |
| Last updated | 05/08/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JUSTIN J HANNEGAN
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JUSTIN J HANNEGAN, CNIM