Organization
NEUROLOGICAL DIAGNOSTIC CENTER OF PHOENIX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEPUR DILANCHYAN (PRESIDENT)
(602) 374-5209
Entity
Organization
Contact information
Practice address
8616 N 35TH AVE, STE 1A, PHOENIX, AZ 85051-3813
(602) 374-5209
Mailing address
8616 N 35TH AVE, STE 1A, PHOENIX, AZ 85051-3813
(602) 374-5209
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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