Healthcare Provider Details

I. General information

NPI: 1972559086
Provider Name (Legal Business Name): ALLAN M. WACHTER, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16611 S 40TH ST STE 170
PHOENIX AZ
85048-0565
US

IV. Provider business mailing address

16611 S 40TH ST STE 170
PHOENIX AZ
85048-0565
US

V. Phone/Fax

Practice location:
  • Phone: 480-785-8000
  • Fax: 480-705-8129
Mailing address:
  • Phone: 480-785-8000
  • Fax: 480-705-8129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number17145
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number17145
License Number StateAZ

VIII. Authorized Official

Name: DR. ALLAN M WACHTER
Title or Position: PRESIDENT CEO
Credential: MD
Phone: 602-284-3385