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Organization
SCOTTSDALE NEUROLOGY PLLC
Active
Organization
SCOTTSDALE NEUROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH KAUFMAN (PRESIDENT)
(480) 621-3313
Entity
Organization
Contact information
Practice address
9755 N 90TH ST STE A200, SCOTTSDALE, AZ 85258-5070
(480) 621-3313
(480) 621-3314
Mailing address
9755 N 90TH ST STE A200, SCOTTSDALE, AZ 85258-5070
(480) 621-3313
(480) 621-3314
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619140225
BCBS
AZ
01
—
4241250
CIGNA
—
01
—
7891573
AETNA
—
01
—
942905
APIPA
—
Enumeration date
04/04/2008
Last updated
10/09/2008
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