Organization
MOVEMENT DISORDERS CENTER OF ARIZONA LLC
Active
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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