Whalio Doctors

NPI 1033650510

Grand Canyon Neurology, PLLC

Organisation Clinical Neurophysiology Physician Scottsdale, AZ

Practice location

Address
10025 E Dynamite Blvd, Scottsdale, AZ 85262
Phone
(602) 338-9745
Mailing address
Msc 334 PO Box 29201, Phoenix, AZ 85038-9201

Authorised official

Name
Felicia Alderete
Title
Legal Operations Manager
Phone
(210) 598-2801

Registered specialties (4)

Clinical Neurophysiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084N0600X
Electrodiagnostic Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 204R00000X
Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X
Electroneurodiagnostic Specialist/Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Registry record

NPI
1033650510
Entity type
Organization
NPI issued
16 Mar 2017
Record last updated
7 May 2021

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.