Individual
DR. NEAL A NIRENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5620 E BROADWAY RD, MESA, AZ 85206-1438
(480) 981-6111
(480) 985-2426
Mailing address
5620 E BROADWAY RD, MESA, AZ 85206-1438
(480) 981-6111
(480) 985-2426
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25484
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z0841
HEALTHNET
AZ
05
—
39600304
—
AZ
01
—
AZ0887960
BLUE CROSS BLUE SHIELD
AZ
01
—
AZ210795
SECURE HORIZON BPHO
AZ
01
—
CN9576
RR MEDICARE GROUP NUMBER
AZ
Enumeration date
11/13/2006
Last updated
07/09/2007
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