Organization
SUMMIT NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GERLACH M.D. (PRESIDENT)
(720) 438-9056
Entity
Organization
Contact information
Practice address
5823 BLUE MOUNTAIN CIR, LONGMONT, CO 80503-2710
(720) 438-9056
Mailing address
5823 BLUE MOUNTAIN CIR, LONGMONT, CO 80503-2710
(720) 438-9056
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
44589
CO
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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