Organization
AZ NEUROPHYSIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETH RIVAS (BILLING)
(623) 535-9777
Entity
Organization
Contact information
Practice address
15508 W BELL RD STE 101-538, SURPRISE, AZ 85374-2432
(623) 535-9777
Mailing address
15508 W BELL RD STE 101-538, SURPRISE, AZ 85374-2432
(623) 535-9777
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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