| Northwestern Neurology | |
|
13101 N Oracle Rd Suite 109 Tucson AZ 85739-9554 | |
| (520) 825-4711 | |
| (520) 825-4712 |
| Full Name | Northwestern Neurology |
|---|---|
| Speciality | Clinic/Center |
| Location | 13101 N Oracle Rd, Tucson, Arizona |
| Authorized Official Name and Position | John W Pierpont (PRESIDENT) |
| Authorized Official Contact | 5208254711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Neurology 1951 N Wilmot Rd Suite 2 Tucson AZ 85712-8000 Ph: (520) 722-3777 | Northwestern Neurology 13101 N Oracle Rd Suite 109 Tucson AZ 85739-9554 Ph: (520) 825-4711 |
| NPI Number | 1376698365 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 7113001348 |
|---|---|
| Medicare Enrollment ID | O20080227000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376698365 | NPI | - | NPPES |
| Z67518 | Other | AZ | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 24067 (Arizona) | Primary |
| Provider Name | John W Pierpont |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285689729 PECOS PAC ID: 0345299921 Enrollment ID: I20050120001012 |
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