Intraoperative Monitoring Assoc

NPI #1336467422 in Salt Lake City, Utah

Provider Information

NPI Number
1336467422
Entity Type
Organization
Organization Name
Intraoperative Monitoring Assoc
Primary Specialty
Specialist
Enumeration Date
May 13, 2010
Last Updated
Sep 18, 2012

Practice Location

Address
1817 W. 800 N
State
Utah
ZIP Code
84025
Phone
(505) 836-7894

Authorized Official

Name
MR. NICK LUEKENGA
Title
OWNER
Phone
(801) 920-1171

Specialties & Taxonomy Codes

Specialty
Specialist

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