| Jcl Neurology,llc | |
|
3201 W Peoria Ave C-500 Phoenix AZ 85029-4608 | |
| (602) 439-7196 | |
| (602) 439-7439 |
| Full Name | Jcl Neurology,llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3201 W Peoria Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Gary Grover (SENIOR VICE PRESIDENT, PND) |
| Authorized Official Contact | 6022166687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jcl Neurology,llc 3201 W Peoria Ave C-500 Phoenix AZ 85029-4608 Ph: (602) 439-7196 | Jcl Neurology,llc 3201 W Peoria Ave C-500 Phoenix AZ 85029-4608 Ph: (602) 439-7196 |
| NPI Number | 1073539110 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073539110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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