Organization
GRANITE MOUNTAIN NEUROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD A GOLEN M.D. (PRESIDENT)
(928) 771-2338
Entity
Organization
Contact information
Practice address
802 AINSWORTH DR, SUITE B, PRESCOTT, AZ 86301-1630
(928) 771-2338
(928) 771-2339
Mailing address
802 AINSWORTH DR, SUITE B, PRESCOTT, AZ 86301-1630
(928) 771-2338
(928) 771-2339
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23522
AZ
Other
Enumeration date
03/21/2006
Last updated
02/16/2012
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