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EAST VALLEY NEUROLOGY P C NPI 1619941184


NPI Information

NPI: 1619941184
Provider Name: EAST VALLEY NEUROLOGY P C
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2730 S VAL VISTA DR
SUITE #146
GILBERT, AZ
ZIP 85296
Phone: (480) 926-0644
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EAST VALLEY NEUROLOGY P C is a neurology psychiatry neurology in Gilbert, AZ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. EAST VALLEY NEUROLOGY P C NPI is 1619941184. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2730 S VAL VISTA DR
SUITE #146
GILBERT, AZ
ZIP 85296-675
Phone: (480) 926-0644
Fax: (480) 926-0645

The provider's authorized official is Ken Ernest Root .
The authorized official title is President and has the following contact phone number (480) 926-0644.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology1688ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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