| 21st Century Neurology | |
|
2601 N 3rd St Suite 125 Phoenix AZ 85004-1104 | |
| (602) 265-6500 | |
| Not Available |
| Full Name | 21st Century Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2601 N 3rd St, Phoenix, Arizona |
| Authorized Official Name and Position | Stephen S Flitman (PRESIDENT) |
| Authorized Official Contact | 6022656500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 21st Century Neurology Po Box 15567 Phoenix AZ 85060-5567 Ph: (602) 265-6500 | 21st Century Neurology 2601 N 3rd St Suite 125 Phoenix AZ 85004-1104 Ph: (602) 265-6500 |
| NPI Number | 1467492066 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 04/01/2010 |
| Medicare PECOS PAC ID | 4880691682 |
|---|---|
| Medicare Enrollment ID | O20061108000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467492066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Stephen S Flitman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023018223 PECOS PAC ID: 7012964737 Enrollment ID: I20050405000960 |
| Provider Name | Joshua A Tobin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629010830 PECOS PAC ID: 5496752297 Enrollment ID: I20061108000215 |
| Provider Name | Paul Schmidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245252444 PECOS PAC ID: 1850359530 Enrollment ID: I20190819003746 |
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