Organization
ARIZONA CENTER FOR NEUROLOGIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SOARES (OFFICE MANAGER)
(602) 200-6999
Entity
Organization
Contact information
Practice address
2702 N 3RD ST, SUITE 2007, PHOENIX, AZ 85004-1130
(602) 200-6999
(602) 200-6990
Mailing address
2702 N 3RD ST, SUITE 2007, PHOENIX, AZ 85004-1130
(602) 200-6999
(602) 200-6990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21445
AZ
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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