OrganizationActive
Aegis Iom, PLLC
NPI 1194217596 · Clinical Neurophysiology Physician · Phoenix, AZ
Provider details
- NPI number
- 1194217596
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Elise Kilmer, Manager
Mailing address
Po Box 41861
Mesa, AZ 85274-1861
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2018-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.