Organization
INTRANERVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HAUBERT (OPERATIONS MANAGER)
(866) 226-8576
Entity
Organization
Contact information
Practice address
13 S TEJON ST, STE. 501, COLORADO SPRINGS, CO 80903-1513
(866) 266-9262
Mailing address
13 S TEJON ST, STE. 501, COLORADO SPRINGS, CO 80903-1513
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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