Organization
ADVANCED NEURO MONITORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ADKINS CNIM (DIRECTOR)
(318) 632-6060
Entity
Organization
Contact information
Practice address
1500 LINE AVE, SHREVEPORT, LA 71101-4639
(318) 632-6060
(318) 629-5597
Mailing address
PO BOX 44284, SHREVEPORT, LA 71134-4284
(318) 632-6060
(318) 629-5597
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
577
—
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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