NPI 1295050409

Movement Disorders Center of Arizona LLC

Organisation Neurology Physician Surprise, AZ

Practice location

Address: 13945 W Grand Ave Suite 102, Surprise, AZ 85374-2437
Phone: (480) 526-5441
Fax: (480) 526-5443
Mailing address: 10635 N 140th Way, Scottsdale, AZ 85259-5500

Authorised official

Name: Virgilio Gerald Hilario Evidente
Title: Sole Member
Phone: (480) 526-5449

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in Arizona →

Registry record

NPI: 1295050409
Entity type: Organization
NPI issued: 30 Mar 2010
Record last updated: 2 May 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.