Foothills Neurology P C

NPI 1104857143 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1104857143
Enumeration Date 07/06/2006
Last Updated 07/02/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHANNON SHANNON
Position OFFICE MANAGER
Phone (480) 961-2365
Fax (480) 961-2382
Practice Location
4530 E MUIRWOOD DR
SUITE 111
PHOENIX AZ, 85048-7639, US
Phone (480) 961-2365
Fax (480) 961-2382
Business Location
PO BOX 39179
PHOENIX AZ, 85069-9179, US
Phone (602) 395-0718
Fax (602) 277-8146
Toxanomy
Taxonomy Code 2084N0400X
License State Arizona
License Number 3103
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According to our database, Foothills Neurology P C NPI is 1104857143, taxonomy code is 2084N0400X and license number is 3103, license state is located at Arizona. Foothills Neurology P C physically located at 4530 E Muirwood Dr, Phoenix AZ, 85048-7639. NPI Number 1033115704 has the healthcare provider type.

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1104857143 NPI number is provided on an as is basis without warranty of any kind. 1104857143 is maintained by the National Plan & Provider Enumeration System. The contents of Foothills Neurology P C are for informational purposes only.