Organization
JCL NEUROLOGY,LLC
Active
Other names
Sun Valley Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GROVER (SENIOR VICE PRESIDENT, PND)
(602) 216-6687
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE, C-500, PHOENIX, AZ 85029-4608
(602) 439-7196
(602) 439-7439
Mailing address
3201 W PEORIA AVE, C-500, PHOENIX, AZ 85029-4608
(602) 439-7196
(602) 439-7439
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
11/30/2007
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