Provider Demographics
NPI:1841763729
Name:COMPLEX NEUROLOGY LLC
Entity Type:Organization
Organization Name:COMPLEX NEUROLOGY LLC
Other - Org Name:CENTER FOR COMPLEX NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER AND MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SAPERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-697-0288
Mailing Address - Street 1:6051 E CORTEZ DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4948
Mailing Address - Country:US
Mailing Address - Phone:602-900-9404
Mailing Address - Fax:
Practice Address - Street 1:1010 E MCDOWELL RD STE 101
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2607
Practice Address - Country:US
Practice Address - Phone:602-900-9404
Practice Address - Fax:602-903-6587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty