Organization
MERIDIAN IOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA CRANE CNIM (PRESIDENT/DIRECTOR)
(541) 517-1206
Entity
Organization
Contact information
Practice address
21521 FALCON WING ROAD, INDIAN HILLS, CO 80454-8045
(541) 517-1206
Mailing address
PO BOX 705, INDIAN HILLS, CO 80454-0705
(541) 517-1206
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
06/03/2020
Last updated
08/03/2022
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