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Organization

LEGACY NEUROMONITORING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT ADCOX M.D. (OWNER)
(907) 202-8303
Entity
Organization

Contact information

Practice address
1818 W FRANCIS AVE, PMB #299, SPOKANE, WA 99205-6834
(907) 202-8303
Mailing address
1818 W FRANCIS AVE, PMB #299, SPOKANE, WA 99205-6834

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
2084N0400X
Neurology Physician
2084N0600X
Clinical Neurophysiology Physician
Primary
246ZE0600X
Electroneurodiagnostic Specialist/Technologist

Other

Enumeration date
01/21/2013
Last updated
05/01/2017
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