Organization
AMBULATORY NEUROLOGICAL SERVICES
Active
Parent organization
AMBULATORY NEUROLOGICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMBULATORY NEUROLOGICAL SERVICES
Authorized official
MIGUEL IRIBARREN (MANAGER)
(888) 447-5904
Entity
Organization
Contact information
Practice address
3106 W THOMAS RD STE 1108, PHOENIX, AZ 85017-5305
(888) 447-5904
Mailing address
PO BOX 28669, SAN DIEGO, CA 92198-0669
(847) 340-9726
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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