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Organization
PEAK NEURO MONITORING LLC
Active
Organization
PEAK NEURO MONITORING LLC
Active
Other names
Peak Neuromonitoring LLC, OverWatch Neuro
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN SHINN (VP)
(303) 704-4621
Entity
Organization
Contact information
Practice address
4164 AUSTIN BLUFFS PKWY UNIT 603, COLORADO SPRINGS, CO 80918-2928
(303) 704-4621
Mailing address
DEPT 880257 PO BOX 29650, PHOENIX, AZ 85038-9650
(303) 704-4621
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
NULL
204R00000X
Electrodiagnostic Medicine Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
NULL
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
293D00000X
Physiological Laboratory
Primary
—
NULL
Other
Enumeration date
01/03/2018
Last updated
12/08/2022
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