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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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