Organization
DOCOPSIOM, LLC
Active
Organization
DOCOPSIOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LICHTMAN (MEMBER)
(602) 292-1455
Entity
Organization
Contact information
Practice address
4271 E MAYA WAY, CAVE CREEK, AZ 85331-2618
(602) 292-1455
Mailing address
PO BOX 71973, PHOENIX, AZ 85050-1017
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1721
AZ
Other
Enumeration date
04/17/2013
Last updated
04/18/2013
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