Organization
WESTERN NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAN YU MD, PH.D (OWNER/MANAGER)
(480) 899-2212
Entity
Organization
Contact information
Practice address
3303 S LINDSAY RD, SUITE 118, GILBERT, AZ 85297-1503
(480) 899-2212
(480) 899-2022
Mailing address
3303 S LINDSAY RD, SUITE 118, GILBERT, AZ 85297-2100
(480) 899-2212
(480) 899-2022
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36498
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201809
—
AZ
Enumeration date
06/10/2010
Last updated
09/24/2010
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