| Azmn Neurology Llc | |
|
5610 E Grant Rd Tucson AZ 85712-2239 | |
| (520) 296-5035 | |
| Not Available |
| Full Name | Azmn Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5610 E Grant Rd, Tucson, Arizona |
| Authorized Official Name and Position | Frederick Thomas Strobl (PRESIDENT) |
| Authorized Official Contact | 5202965035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azmn Neurology Llc 5610 E Grant Rd Tucson AZ 85712-2239 Ph: (520) 296-5035 | Azmn Neurology Llc 5610 E Grant Rd Tucson AZ 85712-2239 Ph: (520) 296-5035 |
| NPI Number | 1376932087 |
|---|---|
| Provider Enumeration Date | 01/19/2015 |
| Last Update Date | 01/19/2015 |
| Medicare PECOS PAC ID | 4486974730 |
|---|---|
| Medicare Enrollment ID | O20150527002944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376932087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 32390 (Arizona) | Primary |
| Provider Name | Frederick T Strobl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780626598 PECOS PAC ID: 5991886335 Enrollment ID: I20150326000001 |
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