| Western Neurology, Pllc | |
|
3303 S Lindsay Rd Suite 118 Gilbert AZ 85297-1503 | |
| (480) 899-2212 | |
| (480) 899-2022 |
| Full Name | Western Neurology, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3303 S Lindsay Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Kan Yu (OWNER/MANAGER) |
| Authorized Official Contact | 4808992212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Neurology, Pllc 3303 S Lindsay Rd Suite 118 Gilbert AZ 85297-2100 Ph: (480) 899-2212 | Western Neurology, Pllc 3303 S Lindsay Rd Suite 118 Gilbert AZ 85297-1503 Ph: (480) 899-2212 |
| NPI Number | 1700106879 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 09/24/2010 |
| Medicare PECOS PAC ID | 7719003151 |
|---|---|
| Medicare Enrollment ID | O20100923000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700106879 | NPI | - | NPPES |
| 201809 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 36498 (Arizona) | Primary |
| Provider Name | Kan Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437372521 PECOS PAC ID: 6507963055 Enrollment ID: I20070518000073 |
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