| NPI | 1881824977 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP NEUROLOGY ABERDEEN |
| Entity Type | Organization |
| Authorized Contact | TODD FORKEL President & CEO 602-622-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 10525) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2016-03-31 |