Organization
LONGEVITY NEUROLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASHA POWELL MD (OWNER)
(480) 770-0427
Entity
Organization
Contact information
Practice address
14362 N FRANK LLOYD WRIGHT BLVD STE 1340, SCOTTSDALE, AZ 85260-8878
(480) 770-0427
(480) 770-0428
Mailing address
13238 N 79TH ST, SCOTTSDALE, AZ 85260-4016
(336) 624-3247
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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