| Institute For Behavioral Neurology, Arizona Dystonia Institute | |
|
8585 E Bell Rd Suite 101-a Scottsdale AZ 85260-1303 | |
| (480) 860-1222 | |
| (480) 860-0029 |
| Full Name | Institute For Behavioral Neurology, Arizona Dystonia Institute |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8585 E Bell Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Drake D Duane (DIRECTOR) |
| Authorized Official Contact | 4808601222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Behavioral Neurology, Arizona Dystonia Institute 8585 E Bell Rd Suite 101-a Scottsdale AZ 85260-1303 Ph: (480) 860-1222 | Institute For Behavioral Neurology, Arizona Dystonia Institute 8585 E Bell Rd Suite 101-a Scottsdale AZ 85260-1303 Ph: (480) 860-1222 |
| NPI Number | 1740365048 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 09/21/2016 |
| Medicare PECOS PAC ID | 7911899687 |
|---|---|
| Medicare Enrollment ID | O20040326001144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740365048 | NPI | - | NPPES |
| 276867 | Other | AZ | AHCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 16903 (Arizona) | Primary |
| Provider Name | Drake D Duane |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851575575 PECOS PAC ID: 1153213822 Enrollment ID: I20100520000978 |
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