COCHISE COUNTY NEURODIAGNOSTICS
Ambulatory Health at Fry Blvd, Sierra Vista, AZ

License number
Arizona 8867
Category
Ambulatory Health
Type
Sleep Disorder Diagnostic
Owner
Name: BRENDALEE A MCINTYRE B.S., RPSGT, REEGT
Title: OWNER
Phone: (520) 335-7135
Address
Address
2160 E Fry Blvd STE C5, Sierra Vista, AZ 85635
National Provider ID: 1053602987
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COCHISE COUNTY NEURODIAGNOSTICS

2160 E Fry Blvd STE C-5 PMB 191, Sierra Vista, AZ

Industry:
Independent diagnostics testing
Registration:
Jan 27, 2011
Phone:
(520) 335-7135 (Phone)
State ID:
510650
Business type:
Trade Name
Owner:
Brenda Mcintyre (Owner), 2160 E Fry Blvd STE C-5 PMB 191, Sierra Vista, AZ 85635 (Physical)

COCHISE COUNTY NEURODIAGNOSTICS, LLC

4301 S Silva Dr, Sierra Vista, AZ 85650

Registration:
Feb 11, 2011
State ID:
L-1659403-9
Expiration:
PERPETUAL
Manager:
Brenda Mcintyre (Manager), 4301 S Silva Dr, Sierra Vista, AZ 85650 (Physical)

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