| Desert Neurology, Ltd | |
|
2501 E Southern Ave #17 Tempe AZ 85282 | |
| (480) 838-1000 | |
| (480) 491-6894 |
| Full Name | Desert Neurology, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2501 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | David Alan Suber (PRESIDENT) |
| Authorized Official Contact | 4808381000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Neurology, Ltd 2501 E Southern Ave #17 Tempe AZ 85282-7669 Ph: (480) 838-1000 | Desert Neurology, Ltd 2501 E Southern Ave #17 Tempe AZ 85282 Ph: (480) 838-1000 |
| NPI Number | 1346543238 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Medicare PECOS PAC ID | 6800076423 |
|---|---|
| Medicare Enrollment ID | O20110214000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346543238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David A Suber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477546323 PECOS PAC ID: 6406895200 Enrollment ID: I20050502000292 |
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