Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Granite Mountain Neurology, PC

Organization Neurology Physician · NPI 1194784900

Granite Mountain Neurology, PC is a Neurology Physician in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

802 Ainsworth Dr Ste B
Prescott, AZ 86301-1630
Phone: (928) 771-2338
Fax: (928) 771-2339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 23522 (AZ)

Record details

NPI number1194784900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Golen — President · (928) 771-2338
NPI enumeratedMarch 21, 2006
Last updated in NPPESFebruary 16, 2012
Mailing address802 Ainsworth Dr, Suite B, Prescott, AZ 86301-1630

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