Individual
MARK MATIBAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REEGT,REPT,CNIM
Contact information
Practice address
2657 S MACON CT, AURORA, CO 80014-1825
(303) 351-9741
Mailing address
2657 S MACON CT, AURORA, CO 80014-1825
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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