Organization
PERIPHERY NEUROPHYSIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD TIMM CNIM, R. EEG T. (CEO)
(801) 674-9066
Entity
Organization
Contact information
Practice address
49 PLEASANT ST, EPPING, NH 03042-3512
(801) 674-9066
Mailing address
49 PLEASANT ST, EPPING, NH 03042-3512
(801) 674-9066
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
09/20/2019
Last updated
11/27/2023
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