Organization
ROCKY MOUNTAIN NEURODIAGNOSTICS, LLC
Active
Other names
Rocky Mountain Neurodiagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
KIA CHURCHWELL (PAYER CREDENTIALING SPECIALIST)
(615) 933-0792
Entity
Organization
Contact information
Practice address
1908 THOMES AVE STE 12550, CHEYENNE, WY 82001-3527
(303) 776-5298
(303) 682-2785
Mailing address
1908 THOMES AVE STE 12550, CHEYENNE, WY 82001-3527
(303) 776-5298
(303) 682-2785
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
10/20/2025
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