Grand Canyon Neurology, Pllc
NPI #1033650510 in Scottsdale, Arizona
Provider Information
- NPI Number
- 1033650510
- Entity Type
- Organization
- Organization Name
- Grand Canyon Neurology, Pllc
- Primary Specialty
- Psychiatry & Neurology - Clinical Neurophysiology
- Enumeration Date
- Mar 16, 2017
- Last Updated
- May 7, 2021
Practice Location
- Address
- 10025 E DYNAMITE BLVD
- City
- Scottsdale
- State
- Arizona
- ZIP Code
- 85262
- Phone
- (602) 338-9745
Authorized Official
- Name
- FELICIA ALDERETE
- Title
- LEGAL OPERATIONS MANAGER
- Phone
- (210) 598-2801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Electrodiagnostic Medicine |
| Psychiatry & Neurology - Neurology — Neurology |
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
| Psychiatry & Neurology - Clinical Neurophysiology — Clinical Neurophysiology |
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