Foothills Neurology P C | |
4530 E Muirwood Dr Suite 111 Phoenix AZ 85048-7639 | |
(480) 961-2365 | |
(480) 961-2382 |
Full Name | Foothills Neurology P C |
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Speciality | Psychiatry & Neurology |
Location | 4530 E Muirwood Dr, Phoenix, Arizona |
Authorized Official Name and Position | Shannon White (OFFICE MANAGER) |
Authorized Official Contact | 6024432325 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Foothills Neurology P C Po Box 39179 Phoenix AZ 85069-9179 Ph: (602) 395-0718 | Foothills Neurology P C 4530 E Muirwood Dr Suite 111 Phoenix AZ 85048-7639 Ph: (480) 961-2365 |
NPI Number | 1104857143 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 07/02/2010 |
Medicare PECOS PAC ID | 6507757234 |
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Medicare Enrollment ID | O20040323000431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104857143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 3103 (Arizona) | Primary |
Provider Name | Scot G Fechtel |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1881618569 PECOS PAC ID: 5698795920 Enrollment ID: I20051201000720 |
Provider Name | Padma R Mahant |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1053310227 PECOS PAC ID: 5698829463 Enrollment ID: I20090812000769 |
Provider Name | Leigh A Gressley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063665875 PECOS PAC ID: 7113068131 Enrollment ID: I20100112000642 |
Provider Name | Stuart J Hetrick |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932101730 PECOS PAC ID: 1759272487 Enrollment ID: I20110330000251 |
Provider Name | Pritish S Pawar |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477726933 PECOS PAC ID: 6305084575 Enrollment ID: I20130529000677 |
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