NPI 1003432279

Pro Iom LLC

Organisation Neurology Physician Phoenix, AZ

Practice location

Address: 3329 E Bell Rd STE A2-A5, Phoenix, AZ 85032-2756
Phone: (602) 482-2282
Mailing address: 2801 Centerville Rd First Floor Pmb #711, Wilmington, DE 19808-1609

Authorised official

Name: Pierce W Waychoff
Title: Sole Mbr
Phone: (602) 482-2282

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in Arizona →

Registry record

NPI: 1003432279
Entity type: Organization
NPI issued: 23 Jun 2020
Record last updated: 22 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.