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Individual

STEPHEN THOMAS GILGENBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
4080 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-3862
(615) 925-2133
Mailing address
1460 LITTLE RAVEN ST UNIT 2-134, DENVER, CO 80202-1764
(615) 925-2133

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2032
TN

Other

Enumeration date
08/04/2011
Last updated
08/04/2011
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