Individual
PHILLIP SAMUEL CAPES
Active
Individual
PHILLIP SAMUEL CAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
1220
GA
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1220
GA
2472E0500X
EEG Technician
1220
GA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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