Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Electroneurodiagnostic |
246ZE0600X |
| NPI # | 1336607191 |
| LBN Legal business name | NW IOM LLC |
| Authorized official | PATRICK O'NEIL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/11/2019 |
| Last updated | 03/11/2019 - About 7 years ago |
| Identifiers | n/a |
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