Organization
NEUROSURGICAL SPECIALISTS MGMT, PLLC
Active
Other names
Neurosurgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R NICOL MD (OWNER)
(928) 779-0588
Entity
Organization
Contact information
Practice address
150 N VERDE ST, SUITE 101, FLAGSTAFF, AZ 86001-5256
(928) 779-0588
(928) 779-2358
Mailing address
150 N VERDE ST, SUITE 101, FLAGSTAFF, AZ 86001-5256
(928) 779-0588
(928) 779-2358
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
05/09/2013
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