| Neurology-child Neurology Of Tucson, Pc | |
|
5610 E Grant Rd Tucson AZ 85712-2239 | |
| (520) 745-2086 | |
| (520) 296-5105 |
| Full Name | Neurology-child Neurology Of Tucson, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 5610 E Grant Rd, Tucson, Arizona |
| Authorized Official Name and Position | Harvey G Goodman (PRESIDENT) |
| Authorized Official Contact | 5207452086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology-child Neurology Of Tucson, Pc 5610 E Grant Rd Tucson AZ 85712-2239 Ph: (520) 745-2086 | Neurology-child Neurology Of Tucson, Pc 5610 E Grant Rd Tucson AZ 85712-2239 Ph: (520) 745-2086 |
| NPI Number | 1700931797 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 01/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700931797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6309 (Arizona) | Primary |
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