NPI 1194784900

Granite Mountain Neurology, PC

Organisation Neurology Physician Prescott, AZ

Practice location

Address: 802 Ainsworth Dr Suite B, Prescott, AZ 86301-1630
Phone: (928) 771-2338
Fax: (928) 771-2339

Authorised official

Name: Donald a Golen
Title: President
Phone: (928) 771-2338

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 23522 (AZ)

Other Psychiatry & Neurology providers in Arizona →

Registry record

NPI: 1194784900
Entity type: Organization
NPI issued: 21 Mar 2006
Record last updated: 16 Feb 2012

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.