Organization
SOUTH DOWNING
Active
Organization
SOUTH DOWNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN PANTHER (OWNER)
(720) 308-4567
Entity
Organization
Contact information
Practice address
5756 GENOA WAY, # 205, AURORA, CO 80019-2090
(720) 308-4567
Mailing address
PO BOX 237, OSAKIS, MN 56360-0237
(720) 308-4567
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
03/24/2015
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