Organization
SCOTTSDALE HEALTHCARE CORP.
Active
Organization
SCOTTSDALE HEALTHCARE CORP.
Active
Other names
SCOTTSDALE HEALTHCARE NEUROSCIENCES CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SILVER (CEO)
(623) 434-6200
Entity
Organization
Contact information
Practice address
10250 N 92ND ST, SUITE 304, SCOTTSDALE, AZ 85258-4510
(480) 451-7676
(480) 451-0971
Mailing address
POX 845635, LOS ANGELES, CA 90084-5635
(623) 434-6200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
07/13/2010
Last updated
02/02/2019
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