Individual
JONATHAN MICHAEL MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
5390 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-4062
(719) 596-6110
Mailing address
5671 OLD RIVER DR, COLORADO SPRINGS, CO 80920-8129
(719) 650-8025
(719) 471-3203
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
412
CO
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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