Provider Demographics
NPI:1194050559
Name:ARIZONA CENTER FOR BRAIN STIMULATION
Entity type:Organization
Organization Name:ARIZONA CENTER FOR BRAIN STIMULATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:PEREA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-219-1901
Mailing Address - Street 1:7362 N LA CHOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2305
Mailing Address - Country:US
Mailing Address - Phone:520-219-1901
Mailing Address - Fax:520-297-5429
Practice Address - Street 1:7362 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2305
Practice Address - Country:US
Practice Address - Phone:520-219-1901
Practice Address - Fax:520-297-5429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty