Organization
WESTERN COLORADO TECHNICAL NEUROMONITORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LOPEZ MD (OWNER)
(225) 588-4845
Entity
Organization
Contact information
Practice address
2580 ALLEN ADALE RD, FAIRBANKS, AK 99709-2580
(225) 588-4845
(225) 612-6561
Mailing address
PO BOX 413136, SALT LAKE CITY, UT 84141-3136
(225) 588-4845
(225) 612-6561
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
11/01/2016
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