Organization
5280 IOM PRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIEANN BISHOP (CO-OWNER)
(346) 221-1597
Entity
Organization
Contact information
Practice address
1700 BASSETT ST UNIT 1021, DENVER, CO 80202-1921
(346) 221-1597
(832) 581-4677
Mailing address
PO BOX 1651, CROSBY, TX 77532-1651
(281) 462-7684
(888) 832-5078
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
CO
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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