Organization
NORTHCOAST NEUROSURGICAL ASSOCIATES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ARYANPUR MD (PRESIDENT)
(707) 268-0190
Entity
Organization
Contact information
Practice address
2752 HARRISON AVE, SUITE A, EUREKA, CA 95501-4738
(707) 268-0190
(707) 269-3791
Mailing address
2752 HARRISON AVE, SUITE A, EUREKA, CA 95501-4738
(707) 268-0190
(707) 269-3791
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
FNP25793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0084000
MEDI CAL
—
Enumeration date
11/14/2006
Last updated
05/08/2008
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