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Contact Information

MIND & BODY NEUROLOGY, LLC
1492 S MILL AVE STE 307
TEMPE, AZ85281-5676
 Phone: 480-256-9270
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MIND & BODY NEUROLOGY, LLC

NPI Number 1932842580
LBN Legal business name MIND & BODY NEUROLOGY, LLC
Authorized official CHARLES SALES - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2022
Last updated 04/20/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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