Organization
EAST VALLEY NEUROLOGY P C
Active
Organization
EAST VALLEY NEUROLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN ERNEST ROOT JR. D.O. (PRESIDENT)
(480) 926-0644
Entity
Organization
Contact information
Practice address
2730 S VAL VISTA DR, SUITE #146, GILBERT, AZ 85296-6675
(480) 926-0644
(480) 926-0645
Mailing address
6532 E BRONCO DR, PARADISE VALLEY, AZ 85253-3100
(480) 926-0644
(480) 926-0645
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1688
AZ
Other
Enumeration date
02/13/2006
Last updated
08/22/2020
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