Organization
HALSTEAD MONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BOMAN (MANAGER)
(405) 622-3827
Entity
Organization
Contact information
Practice address
2226 SHADOWLAKE DR, OKLAHOMA CITY, OK 73159-7440
(405) 622-3827
Mailing address
PO BOX 890161, OKLAHOMA CITY, OK 73189-0161
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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