Organization
DYAMIC NEUROMONITORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON NEZAT (CEO)
(337) 886-5440
Entity
Organization
Contact information
Practice address
208 W GLORIA SWITCH RD, LAFAYETTE, LA 70507-3409
(337) 886-5440
(337) 886-9983
Mailing address
PO BOX 91180, LAFAYETTE, LA 70509-1180
(337) 886-5440
(337) 886-9983
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/28/2017
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