Southwest Neurology P C
NPI #1467637280 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1467637280
- Entity Type
- Organization
- Organization Name
- Southwest Neurology P C
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Dec 31, 2007
- Last Updated
- Apr 30, 2008
Practice Location
- Address
- 5300 S HIGHWAY 95
- Address 2
- SUITE L
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-9251
- Phone
- (928) 788-4260
Authorized Official
- Name
- DR. RONALD S. BENNETT, M.D.
- Title
- PRESIDENT
- Phone
- (928) 788-4260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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