Organization · Type 2 NPI
Scottsdale Professional LLC
Electroneurodiagnostic Specialist/Technologist · Queen Creek, AZ
NPI number
1790217792
Active
Practice location
18521 E Queen Creek Rd, Ste 105-161
Queen Creek, AZ 85142-5866
Fax (602) 926-8841
Mailing address
PO Box 96
Milam, TX 75959-0096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
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About NPI 1790217792
Scottsdale Professional LLC's National Provider Identifier is 1790217792, issued on Mar 29, 2017. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Queen Creek, AZ. The record was last updated on May 1, 2017.