Flagstaff Neurology
NPI #1518136241 in La Jolla, California
Provider Information
- NPI Number
- 1518136241
- Entity Type
- Organization
- Organization Name
- Flagstaff Neurology
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Feb 27, 2008
- Last Updated
- Aug 21, 2012
Practice Location
- Address
- 4275 EXECUTIVE SQ STE 200
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1476
- Phone
- (619) 403-1701
Authorized Official
- Name
- DR. PANNA SHAH, MD
- Title
- PHYSICCIAN OWNER
- Phone
- (619) 403-1701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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