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
MIGUEL IRIBARREN (MANAGER)
(847) 340-9726
Entity
Organization
Contact information
Practice address
109 HINTON AVE STE 18, WILMINGTON, NC 28403-4772
(888) 447-5904
(866) 858-7255
Mailing address
PO BOX 28669, SAN DIEGO, CA 92198-0669
(888) 447-5904
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
10/27/2016
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