Organization
SURGICAL NEUROMONITORING SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX AMOCHAEV PHD (PRESIDENT)
(707) 573-2341
Entity
Organization
Contact information
Practice address
3005 SANTA MARGARITA CT, SANTA ROSA, CA 95405-8205
(707) 573-2341
(707) 539-2939
Mailing address
3005 SANTA MARGARITA CT, SANTA ROSA, CA 95405-8205
(707) 573-2341
(707) 539-2939
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PSY12851
CA
Other
Enumeration date
10/18/2005
Last updated
08/22/2020
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