Organization
ALPHA NEURO-MONITORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WHITEHEAD (DIRECTOR, CLINICAL SERVICES)
(415) 765-7105
Entity
Organization
Contact information
Practice address
751 E BLITHEDALE AVE # 369, MILL VALLEY, CA 94941-1515
(281) 346-3480
Mailing address
PO BOX 369, MILL VALLEY, CA 94942-0369
(281) 346-3480
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
10/26/2021
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