# NEUROPHYSIOLOGIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326372095
- **Authorized official:** ERVIN CABALLES C.N.I.M. (PRESIDENT)
- **Authorized official phone:** (303) 880-1429

## Contact information

- **Practice address:** 1651 QUEBEC ST, DENVER, CO 80220-1963
- **Practice address phone:** (303) 880-1429
- **Practice address fax:** (303) 993-8955
- **Mailing address:** 1651 QUEBEC ST, DENVER, CO 80220-1963
- **Mailing address phone:** (303) 880-1429
- **Mailing address fax:** (303) 993-8955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 09/28/2009