| Neurodiagnostics Ltd. | |
|
4801 N Butler Ave Ste. 8102 Farmington NM 87401-0818 | |
| (505) 326-7153 | |
| (505) 326-7767 |
| Full Name | Neurodiagnostics Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4801 N Butler Ave, Farmington, New Mexico |
| Authorized Official Name and Position | Denise Breeden (OFFICE MANAGER) |
| Authorized Official Contact | 5053267153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurodiagnostics Ltd. 4801 N Butler Ave Ste. 8102 Farmington NM 87401-0818 Ph: (505) 326-7153 | Neurodiagnostics Ltd. 4801 N Butler Ave Ste. 8102 Farmington NM 87401-0818 Ph: (505) 326-7153 |
| NPI Number | 1942365416 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942365416 | NPI | - | NPPES |
| 69631 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2000-14 (New Mexico) | Primary |
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