Healthcare Provider Details

I. General information

NPI: 1477551083
Provider Name (Legal Business Name): NEIL HOWARD AARON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S. GEORGE DR
TEMPE AZ
85282-4172
US

IV. Provider business mailing address

3200 S. GEORGE DR
TEMPE AZ
85282-4172
US

V. Phone/Fax

Practice location:
  • Phone: 480-839-9097
  • Fax: 480-839-1762
Mailing address:
  • Phone: 480-839-9097
  • Fax: 480-839-1762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19233
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: