Organization
PEAK NEURO MONITORING LLC
Active
Other names
Peak Neuromonitoring LLC, OverWatch Neuro
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN SHINN (VP)
(303) 704-4621
Entity
Organization
Contact information
Practice address
4164 AUSTIN BLUFFS PKWY UNIT 603, COLORADO SPRINGS, CO 80918-2928
(303) 704-4621
Mailing address
DEPT 880257 PO BOX 29650, PHOENIX, AZ 85038-9650
(303) 704-4621
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
12/08/2022
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