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Mr. Justin James Hannegan, CNIM
Electroneurodiagnostic Specialist/Technologist in Golden, Colorado
NPI 1255508313

Justin James Hannegan is a Electroneurodiagnostic Specialist/Technologist based in Salem, CO and is specialized in Electroneurodiagnostic. Justin James Hannegan practices in Golden, CO and has the professional credentials of CNIM. The NPI Number for Justin James Hannegan is 1255508313 and holds a License No. 1497 (Colorado).

The current practice location address for Justin James Hannegan is 15047 W 54Th Dr, Golden, CO and can be reached out via phone at 720-308-4567.

Location: 15047 W 54Th Dr, Golden, CO, 97306-9709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255508313
Provider Name
Justin James Hannegan
Credential
CNIM
Provider Entity Type
Individual
Gender
Male
Address
15047 W 54Th Dr, Golden, CO, 97306-9709
Phone Number
720-308-4567
Fax Number
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15047 W 54Th Dr
City
Golden
State
Colorado
Zip
80403-2915
Phone Number
720-308-4567
Fax Number
person
Provider Business Mailing Address Details
Address
15047 W 54Th Dr
City
Golden
State
Colorado
Zip
80403-2915
Phone Number
720-308-4567
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
246ZE0600X
License No.
1497 (Massachusetts)
Definition
Definition to come...
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