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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