Organization
NIRVANA HYPERBARIC INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER L HUNTER (DIRECTOR)
(650) 642-0533
Entity
Organization
Contact information
Practice address
146 MEDICAL PARK ROAD, SUITE 110, MOORESVILLE, NC 28117
(704) 471-4100
(704) 471-4101
Mailing address
146 MEDICAL PARK ROAD, SUITE 110, MOORESVILLE, NC 28117
(704) 471-4100
(704) 471-4101
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/31/2023
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