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Az Neurorecovery Treatment Innovation Center, Llc
Medical Specialty Clinic/Center in Mesa, Arizona
NPI 1790256089

Az Neurorecovery Treatment Innovation Center, Llc is a Medical Specialty Clinic/Center based in Mesa, AZ and is specialized in Medical Specialty. Az Neurorecovery Treatment Innovation Center, Llc practices in Mesa, AZ. The NPI Number for Az Neurorecovery Treatment Innovation Center, Llc is 1790256089 and holds a License No. (Arizona).

The current practice location address for Az Neurorecovery Treatment Innovation Center, Llc is 2812 N Norwalk Ste 10-119, Mesa, AZ and can be reached out via phone at 480-621-8200 and via fax at 480-621-8283.

Location: 2812 N Norwalk Ste 10-119, Mesa, AZ, 85215-1148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790256089
Provider Name
Az Neurorecovery Treatment Innovation Center, Llc
Credential
Provider Entity Type
Organization
Address
2812 N Norwalk Ste 10-119, Mesa, AZ, 85215-1148
Phone Number
480-621-8200
Fax Number
480-621-8283
Provider Enumeration Date
12/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
389471 05 AZ
institution
Provider Business Practice Location Address Details
Address
2812 N Norwalk Ste 10-119
City
Mesa
State
Arizona
Zip
85215-1148
Phone Number
480-621-8200
Fax Number
480-621-8283
person
Provider Business Mailing Address Details
Address
2812 N Norwalk Ste 10-119
City
Mesa
State
Arizona
Zip
85215-1148
Phone Number
480-621-8200
Fax Number
480-621-8283
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
()
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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