| Longevity Neurology Center | |
|
14362 N Frank Lloyd Wright Blvd Ste 1340 Scottsdale AZ 85260-8878 | |
| (480) 770-0427 | |
| (480) 770-0428 |
| Full Name | Longevity Neurology Center |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 14362 N Frank Lloyd Wright Blvd Ste 1340, Scottsdale, Arizona |
| Authorized Official Name and Position | Tasha Powell (OWNER) |
| Authorized Official Contact | 4807700427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Neurology Center 13238 N 79th St Scottsdale AZ 85260-4016 Ph: (336) 624-3247 | Longevity Neurology Center 14362 N Frank Lloyd Wright Blvd Ste 1340 Scottsdale AZ 85260-8878 Ph: (480) 770-0427 |
| NPI Number | 1790668085 |
|---|---|
| Provider Enumeration Date | 07/26/2025 |
| Last Update Date | 07/26/2025 |
| Certification Date | 07/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790668085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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