MEDICARE: SCOTTSDALE NEUROSURGERY SPECIALISTS, PLLC

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
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1578387379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTTSDALE NEUROSURGERY SPECIALISTS, PLLC

Provider Business Mailing Address
First Line	:	5744 N CANYON DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-2404
Country	:	US
Telephone Number	:	602-317-5014
Fax Number	:

Provider Business Practice Location Address
First Line	:	7242 E OSBORN RD # 520
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-6487
Country	:	US
Telephone Number	:	602-313-7772
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	PETER NAKAJI
Credential	:
Telephone Number	:	602-313-7772

Provider Enumeration Date	:	11/09/2024
Last Update Date	:	11/30/2025

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