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Organization

CRANIOM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES TRITCHLER RPSGT, R.EPT, CNIM (MANAGER)
(701) 388-5390
Entity
Organization

Contact information

Practice address
575 LOS ALTOS CIR, MESQUITE, NV 89027-2523
(701) 388-5390
Mailing address
575 LOS ALTOS CIR, MESQUITE, NV 89027-2523
(701) 388-5390

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
3282

Other

Enumeration date
10/18/2017
Last updated
09/23/2021
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