| Red Rock Interoperative Neuromonitoring Llc | |
|
3104 E Camelback Rd Ste 2589 Phoenix AZ 85016-4502 | |
| (866) 374-6628 | |
| (866) 951-1120 |
| Full Name | Red Rock Interoperative Neuromonitoring Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 3104 E Camelback Rd Ste 2589, Phoenix, Arizona |
| Authorized Official Name and Position | Kelly Mcclintock (COMPLIANCE OFFICER) |
| Authorized Official Contact | 8663746628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock Interoperative Neuromonitoring Llc 3104 E Camelback Rd Ste 2589 Phoenix AZ 85016-4502 Ph: (866) 374-6628 | Red Rock Interoperative Neuromonitoring Llc 3104 E Camelback Rd Ste 2589 Phoenix AZ 85016-4502 Ph: (866) 374-6628 |
| NPI Number | 1750921508 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 03/02/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750921508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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