Organization
AZ NEURORECOVERY TREATMENT INNOVATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE ALARCIO MD (PEDIATRIC NEUROLOGIST/PARTNER)
(480) 621-8200
Entity
Organization
Contact information
Practice address
2812 N NORWALK STE 10-119, MESA, AZ 85215-1148
(480) 621-8200
(480) 621-8283
Mailing address
2812 N NORWALK STE 10-119, MESA, AZ 85215-1148
(480) 621-8200
(480) 621-8283
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389471
—
AZ
Enumeration date
12/11/2018
Last updated
06/11/2019
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