Healthcare Provider Details

I. General information

NPI: 1447366042
Provider Name (Legal Business Name): MDNAPOLI, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18701 N 67TH AVE
GLENDALE AZ
85308-7100
US

IV. Provider business mailing address

6109 E DESERT VISTA TRL
CAVE CREEK AZ
85331-3477
US

V. Phone/Fax

Practice location:
  • Phone: 623-561-1000
  • Fax:
Mailing address:
  • Phone: 480-786-0899
  • Fax: 480-963-1752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number29136
License Number StateAZ

VIII. Authorized Official

Name: JAMES G NAPOLI
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 480-786-0899