Organization
SCOTTSDALE PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY REED (MANAGER)
(720) 503-5711
Entity
Organization
Contact information
Practice address
18521 E QUEEN CREEK RD, STE 105-161, QUEEN CREEK, AZ 85142-5866
(720) 503-5711
(602) 926-8841
Mailing address
PO BOX 96, MILAM, TX 75959-0096
(225) 588-4845
(602) 926-8841
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
05/01/2017
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