Healthcare Provider Details

I. General information

NPI: 1831182831
Provider Name (Legal Business Name): DANIEL HOEHLE DOWNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 07/14/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N RIM DR SUITE B
FLAGSTAFF AZ
86001-3128
US

IV. Provider business mailing address

9097 E DESERT COVE AVE STE 200
SCOTTSDALE AZ
85260-6280
US

V. Phone/Fax

Practice location:
  • Phone: 928-556-9200
  • Fax: 928-556-0336
Mailing address:
  • Phone: 480-273-8510
  • Fax: 480-214-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number23384
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: