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NPI Code Detail

MEDICARE: MARKER NEUROMONITORING LLC

MEDICARE: MARKER NEUROMONITORING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1154818466
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARKER NEUROMONITORING LLC
Provider Business Mailing Address
First Line : PO BOX 6086
Second Line :
City : PORTLAND
State : OR
Zip : 97228-6086
Country : US
Telephone Number : 425-890-6239
Fax Number :
Provider Business Practice Location Address
First Line : 6860 DALLAS PKWY STE 200
Second Line :
City : PLANO
State : TX
Zip : 75024-4242
Country : US
Telephone Number : 469-440-8841
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : JONATHAN WIGGINS
Credential :
Telephone Number : 469-440-8841
Provider Enumeration Date : 04/23/2018
Last Update Date : 09/04/2020

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Directions to “MARKER NEUROMONITORING LLC ” Practice Location

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