Organization
AMBULATORY NEUROLOGICAL SERVICES, LLC
Active
Parent organization
AMBULATORY NEUROLOGICAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBULATORY NEUROLOGICAL SERVICES, LLC
Authorized official
MR. MIGUEL IRIBARREN (MANAGER)
(847) 340-9726
Entity
Organization
Contact information
Practice address
6901 W EMERALD ST, STE 208, BOISE, ID 83704-8660
(208) 350-7263
(866) 273-5772
Mailing address
PO BOX 28669, SAN DIEGO, CA 92198-0669
(888) 447-5904
(866) 858-7255
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
02/16/2017
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