Organization
NEUROLOGICAL INSTITUTE OF YUMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL RASTOGI M.D. (VICE PRESIDENT)
(928) 314-3535
Entity
Organization
Contact information
Practice address
2281 W 24TH ST STE 8, YUMA, AZ 85364-6197
(928) 314-3535
(928) 314-3939
Mailing address
PO BOX 4818, YUMA, AZ 85366-4818
(928) 314-3535
(928) 314-3939
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
33164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888323
—
AZ
Enumeration date
11/29/2007
Last updated
11/29/2007
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