Organization
MOVEMENT DISORDERS CENTER OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGILIO GERALD HILARIO EVIDENTE M.D. (SOLE MEMBER)
(480) 526-5449
Entity
Organization
Contact information
Practice address
13945 W GRAND AVE, SUITE 102, SURPRISE, AZ 85374-2437
(480) 526-5441
(480) 526-5443
Mailing address
10635 N 140TH WAY, SCOTTSDALE, AZ 85259-5500
(480) 526-5449
(480) 526-5443
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
05/02/2012
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