Organization
ADVANCED IOM SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MARSH (BUSINESS MANAGER)
(360) 870-0265
Entity
Organization
Contact information
Practice address
3046 BANKS LN SW, TUMWATER, WA 98512-1450
(360) 870-0265
Mailing address
3046 BANKS LN SW, TUMWATER, WA 98512-1450
(360) 870-0265
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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