Organization
MAG7 NEUROLOGY LLC
Active
Organization
MAG7 NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CRIST (MANAGER)
(480) 897-3300
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 105, MESA, AZ 85206-4616
(480) 893-3300
Mailing address
2801 CENTERVILLE ROAD, PMB 648, WILMINGTON, DE 19808-1609
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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