Organization
SANDIA NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL A GLOVER (GENERAL MANAGER)
(505) 379-1997
Entity
Organization
Contact information
Practice address
600 CENTRAL AVE SE, SUITE 204, ALBUQUERQUE, NM 87102-3656
(505) 242-6432
(505) 242-6431
Mailing address
600 CENTRAL AVE SE, SUITE 204, ALBUQUERQUE, NM 87102-3656
(505) 242-6432
(505) 242-6431
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
02/13/2010
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