Organization
NORTHWESTERN NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W PIERPONT MD (PRESIDENT)
(520) 825-4711
Entity
Organization
Contact information
Practice address
13101 N ORACLE RD, SUITE 109, TUCSON, AZ 85739-9554
(520) 825-4711
(520) 825-4712
Mailing address
1951 N WILMOT RD, SUITE 2, TUCSON, AZ 85712-8000
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
24067
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z67518
MEDICARE PTAN
AZ
Enumeration date
01/23/2007
Last updated
04/02/2014
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