East Valley Neurosurgery, LLC

NPI #1356594626 in Mesa, Arizona

Provider Information

NPI Number
1356594626
Entity Type
Organization
Organization Name
East Valley Neurosurgery, LLC
Primary Specialty
Neurological Surgery
Enumeration Date
Oct 29, 2008
Last Updated
Sep 13, 2010

Practice Location

Address
2045 S VINEYARD
Address 2
142
City
Mesa
State
Arizona
ZIP Code
85210-6889
Phone
(480) 303-6010

Authorized Official

Name
JENNIFER FARRIS
Title
CREDENTIALING SPECIALIST
Phone
(480) 478-6620

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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