| Tucson Neuroscience Center, P.l.l.c. | |
|
4015 E Paradise Falls Dr Suite 132 Tucson AZ 85712-6700 | |
| (520) 721-1000 | |
| (520) 318-4766 |
| Full Name | Tucson Neuroscience Center, P.l.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4015 E Paradise Falls Dr, Tucson, Arizona |
| Authorized Official Name and Position | Scott C Forrer (OWNDER) |
| Authorized Official Contact | 5207211000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucson Neuroscience Center, P.l.l.c. 4015 E Paradise Falls Dr Suite 132 Tucson AZ 85712-6700 Ph: (520) 721-1000 | Tucson Neuroscience Center, P.l.l.c. 4015 E Paradise Falls Dr Suite 132 Tucson AZ 85712-6700 Ph: (520) 721-1000 |
| NPI Number | 1558808345 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558808345 | NPI | - | NPPES |
| 295031 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 19296 (Arizona) | Primary |
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