person
Barry Lee Brisco, CNIM,REEGT
Electroneurodiagnostic Specialist/Technologist in San Francisco, California
NPI 1609173962

Barry Lee Brisco is a Electroneurodiagnostic Specialist/Technologist based in San Mateo, CA and is specialized in Electroneurodiagnostic. Barry Lee Brisco practices in San Francisco, CA and has the professional credentials of CNIM,REEGT. The NPI Number for Barry Lee Brisco is 1609173962 and holds a License No. (California).

The current practice location address for Barry Lee Brisco is 450 Stanyan St, San Francisco, CA and can be reached out via phone at 800-305-6234. You can also correspond with Barry Lee Brisco through the mailing address at 1547 TARRYTOWN ST, SAN MATEO, CA - 94402-3821 (mailing address contact number: 650-346-6342).

Location: 450 Stanyan St, San Francisco, CA, 94402-3821
person
Provider Profile Details
NPI Number
1609173962
Provider Name
Barry Lee Brisco
Credential
CNIM,REEGT
Provider Entity Type
Individual
Gender
Male
Address
450 Stanyan St, San Francisco, CA, 94402-3821
Phone Number
800-305-6234
Fax Number
Provider Enumeration Date
02/23/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1126 01 R.EEG T.
2099 01 CNIM
institution
Provider Business Practice Location Address Details
Address
450 Stanyan St
City
State
Zip
94117-1019
Phone Number
800-305-6234
Fax Number
person
Provider Business Mailing Address Details
Address
450 Stanyan St
City
State
Zip
94117-1019
Phone Number
800-305-6234
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
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Definition
Definition to come...
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