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NPI Code Detail

MEDICARE: NEUROSURGICAL ASSOCIATES, LTD

MEDICARE: NEUROSURGICAL ASSOCIATES, LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician
22085D0003XDiagnostic Neuroimaging (Radiology) Physician
32085N0700XNeuroradiology Physician
4225100000XPhysical Therapist
52085R0001XRadiation Oncology Physician
6207T00000XNeurological Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043202484
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEUROSURGICAL ASSOCIATES, LTD
Provider Business Mailing Address
First Line : 2910 N 3RD AVE # 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4434
Country : US
Telephone Number : 602-406-3181
Fax Number : 602-264-2417
Provider Business Practice Location Address
First Line : 2910 N 3RD AVE # 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4434
Country : US
Telephone Number : 602-406-3181
Fax Number : 602-406-6108
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : LISA SANCHEZ
Credential : COO
Telephone Number : 602-406-2457
Provider Enumeration Date : 08/22/2005
Last Update Date : 01/29/2025

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