OrganizationActive
Neuro Dynamics Penn
NPI 1649745803 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Philadelphia, PA
Provider details
- NPI number
- 1649745803
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jay Krottinger, Coo(918) 932-2734
Specialties & taxonomies
Suppliers
Practice location
100 N 18th St
Ste 300
Philadelphia, PA 19103
Phone: (918) 770-9333
Fax: (918) 213-4888
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1430
Jenks, OK 74034-1430
Registry dates
- Enumerated
- 2018-10-03
- Last updated
- 2019-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.