Southwest Iom Pro LLC
NPI #1801411152 in Paradise Valley, Arizona
Provider Information
- NPI Number
- 1801411152
- Entity Type
- Organization
- Organization Name
- Southwest Iom Pro LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jun 12, 2020
- Last Updated
- Jun 12, 2020
Practice Location
- Address
- 6401 E CARON DR
- City
- Paradise Valley
- State
- Arizona
- ZIP Code
- 85253-1862
- Phone
- (623) 293-3985
Authorized Official
- Name
- CHRISTOPHER S RAY, MD
- Title
- PRESIDENT
- Phone
- (623) 293-3985
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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