IndividualActive
Angus Wilfong, MD
NPI 1629158977 · Neurology with Special Qualifications in Child Neurology Physician · Phoenix, AZ
Provider details
- NPI number
- 1629158977
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- J0413 (TX)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 53110 (AZ)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0970
Fax: (602) 933-4253
Approximate (ZIP-level) locationGet directions
Mailing address
3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2018-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.