Organization
INTRAOPERATIVE NEUROLOGY PREVENTATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA FISHER (MANAGER)
(480) 993-1300
Entity
Organization
Contact information
Practice address
4566 E INVERNESS AVE STE 208, MESA, AZ 85206-4634
(480) 993-1300
(480) 993-1300
Mailing address
2801 CENTERVILLE ROAD, PMB 654, WILMINGTON, DE 19808
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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