Organization
NEURO WATCH
Active
Organization
NEURO WATCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN LECOMPTE (GENERAL PARTNER)
(480) 213-8488
Entity
Organization
Contact information
Practice address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(480) 874-7014
(480) 874-7015
Mailing address
PO BOX 7387, TEMPE, AZ 85281-0013
(480) 874-7014
(480) 874-7015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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