Organization
COGENT NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN M DEARDORFF CNIM (PRESIDENT)
(520) 261-3757
Entity
Organization
Contact information
Practice address
7655 S GOOSEBERRY WAY, TUCSON, AZ 85747-5341
(520) 261-3757
Mailing address
7655 S GOOSEBERRY WAY, TUCSON, AZ 85747-5341
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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