Organization
AZ NEUROMONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN CHICHELLI CNIM, R.EEGT (OWNER)
(480) 282-8535
Entity
Organization
Contact information
Practice address
10105 E VIA LINDA, STE 103-274, SCOTTSDALE, AZ 85258-5311
(480) 282-8535
Mailing address
PO BOX 1288, CROSBY, TX 77532-1288
(281) 462-1285
(281) 462-1554
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
07/21/2012
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