Organization
INTRAOPERATIVE NEUROLOGICAL MONITORING DIAGNOSTICS, LLC
Active
Other names
Ion.MD
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CASTLE (PRESIDENT)
(281) 324-5660
Entity
Organization
Contact information
Practice address
1990 MCCULLOCH BLVD N # D281, LAKE HAVASU CITY, AZ 86403-5749
(281) 324-5660
(281) 324-5679
Mailing address
1990 MCCULLOCH BLVD N # D281, LAKE HAVASU CITY, AZ 86403-5749
(281) 324-5660
(281) 324-5679
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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