FOOTHILLS NEUROLOGY P C NPI 1104857143

NPI Information

  • NPI: 1104857143
  • Provider Name: FOOTHILLS NEUROLOGY P C
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 4530 E MUIRWOOD DR
    SUITE 111
    PHOENIX, AZ
    ZIP 85048
  • Phone: (480) 961-2365

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NPI Details

FOOTHILLS NEUROLOGY P C is a neurology psychiatry neurology in Phoenix, 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. FOOTHILLS NEUROLOGY P C NPI is 1104857143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4530 E MUIRWOOD DR
SUITE 111
PHOENIX, AZ
ZIP 85048-639
Phone: (480) 961-2365
Fax: (480) 961-2382

The provider's authorized official is Shannon White .
The authorized official title is Office Manager and has the following contact phone number (602) 443-2325.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/2/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology3103ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E47394MEDICARE UPINARIZONA
2Z66219MEDICARE PINARIZONA

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: 3/30/2025

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