| Arizona Center For Neurologic Medicine, Pc | |
|
2702 N 3rd St Ste 2007 Phoenix AZ 85004-4606 | |
| (602) 200-6999 | |
| (602) 200-6990 |
| Full Name | Arizona Center For Neurologic Medicine, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2702 N 3rd St Ste 2007, Phoenix, Arizona |
| Authorized Official Name and Position | Jody Reiser (CEO) |
| Authorized Official Contact | 6022006999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Center For Neurologic Medicine, Pc 2702 N 3rd St Ste 2007 Phoenix AZ 85004-4606 Ph: (602) 200-6999 | Arizona Center For Neurologic Medicine, Pc 2702 N 3rd St Ste 2007 Phoenix AZ 85004-4606 Ph: (602) 200-6999 |
| NPI Number | 1144233784 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 11/07/2007 |
| Medicare PECOS PAC ID | 6608024872 |
|---|---|
| Medicare Enrollment ID | O20120912000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144233784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 21445 (Arizona) | Primary |
| Provider Name | Jody B Reiser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194949560 PECOS PAC ID: 8729004965 Enrollment ID: I20051018000456 |
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