Organization · Type 2 NPI
PK Neurology PLLC
General Practice Physician · Mesa, AZ
NPI number
1104763051
Active
Practice location
455 N Mesa Dr Ste 5
Mesa, AZ 85201-5936
Mailing address
5738 E Star Valley St
Mesa, AZ 85215-9664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | None listed |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Physical Therapist | 225100000X | None listed |
| Neurorehabilitation Occupational Therapist | 225XN1300X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1104763051
PK Neurology PLLC's National Provider Identifier is 1104763051, issued on Apr 29, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mesa, AZ. The record was last updated on Apr 29, 2026.