Diva Intra-Operative Monitoring LLC

NPI #1437523065 in Galena, Kansas

Provider Information

NPI Number: 1437523065
Entity Type: Organization
Organization Name: Diva Intra-Operative Monitoring LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Nov 19, 2015
Last Updated: Jul 6, 2016

Practice Location

Address: 444 FOUR STATES DR
City: Galena
State: Kansas
ZIP Code: 66739-4324
Phone: (620) 783-4441

Authorized Official

Name: DR. BRIAN J IPSEN, M.D.
Title: MEMBER
Phone: (620) 783-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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