PS PRO IOM LLC
NPI 1760042220
Psychiatry & Neurology - Neurology in Phoenix, AZ
- Organization
- Psychiatry & Neurology
- Neurology
About PS PRO IOM LLC
This page provides the complete NPI Profile along with additional information for Ps Pro Iom Llc, a provider established in Phoenix, Arizona operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1760042220 assigned on June 2019. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Challen Waychoff Iii (Coo/manager)
- NPI
- 1760042220 Verify this NPI
- Provider Name
- PS PRO IOM LLC
- Entity Type
- Organization
- Location Address
- 3724 N 3RD ST STE 301 PHOENIX, AZ 85012
- Location Phone
- (480) 634-6400
- Location Fax
- (480) 404-9649
- Mailing Address
- 3724 N 3RD ST STE 301 PHOENIX, AZ 85012
- Mailing Phone
- (480) 634-6400
- Mailing Fax
- (480) 404-9649
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-17-2019
- Last Update Date
- 06-17-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760042220, enumerated as an "organization" on June 17, 2019.
The provider is located at 3724 N 3RD ST STE 301 PHOENIX, AZ 85012 and the phone number is (480) 634-6400.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
