Organization
SPINE IONM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HELSPER (PRACTICE ADMINISTRATOR)
(623) 256-2666
Entity
Organization
Contact information
Practice address
8326 W CORRINE DR, PEORIA, AZ 85381-5171
(602) 317-6226
Mailing address
8326 W CORRINE DR, PEORIA, AZ 85381-5171
(602) 317-6226
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/17/2016
Last updated
08/31/2016
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