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Organization
AMBULATORY NEUROLOGICAL SERVICES
Active
Organization
AMBULATORY NEUROLOGICAL SERVICES
Active
Parent organization
AMBULATORY NEUROLOGICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBULATORY NEUROLOGICAL SERVICES
Authorized official
MIGUEL IRIBARREN (MANAGER)
(888) 447-5904
Entity
Organization
Contact information
Practice address
3106 W THOMAS RD STE 1108, PHOENIX, AZ 85017-5305
(888) 447-5904
Mailing address
PO BOX 28669, SAN DIEGO, CA 92198-0669
(847) 340-9726
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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