Organization
SOUTHWEST CENTER FOR NEUROLOGICAL SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC ALAIN LETELLIER MD (OWNER)
(480) 730-1844
Entity
Organization
Contact information
Practice address
4566 E INVERNESS AVE, 205, MESA, AZ 85206-4633
(480) 730-1844
(480) 730-1404
Mailing address
4566 E INVERNESS AVE, 205, MESA, AZ 85206-4633
(480) 730-1844
(480) 730-1404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18410
AZ
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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