Organization
BENCHMARK IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WAYNE SMITH (OPERATIONS MANAGER)
(972) 403-1702
Entity
Organization
Contact information
Practice address
3020 CANTON ST, DALLAS, TX 75226-1605
(972) 403-1702
Mailing address
3020 CANTON ST, DALLAS, TX 75226-1605
(972) 403-1702
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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