Organization
EVEREST NEURO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID POWNER CNIM (CO-OWNER)
(757) 763-9035
Entity
Organization
Contact information
Practice address
23850 SAN ISABEL RD, INDIAN HILLS, CO 80454
(757) 763-9035
Mailing address
PO BOX 986, INDIAN HILLS, CO 80454-0986
(757) 763-9035
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
02/07/2025
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