Provider Demographics
NPI:1346543238
Name:DESERT NEUROLOGY, LTD
Entity Type:Organization
Organization Name:DESERT NEUROLOGY, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SUBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-838-1000
Mailing Address - Street 1:2501 E SOUTHERN AVE
Mailing Address - Street 2:#17
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7669
Mailing Address - Country:US
Mailing Address - Phone:480-838-1000
Mailing Address - Fax:480-491-6894
Practice Address - Street 1:2501 E SOUTHERN AVE
Practice Address - Street 2:#17
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282
Practice Address - Country:US
Practice Address - Phone:480-838-1000
Practice Address - Fax:480-491-6894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty