NPI 1124641857

Pine Monitoring LLC

Organisation Neurology Physician Mesa, AZ

Practice location

Address: 6424 E Broadway Rd STE 102, Mesa, AZ 85206-1750
Phone: (602) 354-5310
Mailing address: 21001 N Tatum Blvd STE 1630-606, Phoenix, AZ 85050-4242

Authorised official

Name: Thomas Moshiri
Title: Manager
Phone: (602) 441-3573

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in Arizona →

Registry record

NPI: 1124641857
Entity type: Organization
NPI issued: 28 May 2020
Record last updated: 24 Feb 2022

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.