Organization
INTRANERVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY MACKENZIE HILL R. EEG/EP T., CNIM (NEURODIAGNOSTIC TECHNOLOGIST)
(317) 918-1941
Entity
Organization
Contact information
Practice address
13 S TEJON ST STE 501, COLORADO SPRINGS, CO 80903-1530
(866) 226-8576
Mailing address
9925 HARD KEY CIR, INDIANAPOLIS, IN 46236-7359
(317) 918-1941
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2434
IN
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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