Organization
SOUTHWEST NEURODIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY D DAVIES (CHIEF OPERATING OFFICER)
(406) 599-4354
Entity
Organization
Contact information
Practice address
42104 N VENTURE DR STE A114, ANTHEM, AZ 85086-3825
(602) 395-0718
(602) 277-8146
Mailing address
42104 N VENTURE DR STE A114, ANTHEM, AZ 85086-3825
(406) 599-4354
(602) 798-8296
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
246ZE0500X
EEG Specialist/Technologist
—
—
Other
Enumeration date
04/16/2018
Last updated
11/30/2020
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