Healthcare Provider Details
I. General information
NPI: 1811316490
Provider Name (Legal Business Name): DAVID GORDON CURRIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/10/2014
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
645 E MISSOURI AVE STE 300
PHOENIX AZ
85012-1351
US
IV. Provider business mailing address
10238 E HAMPTON AVE STE 416
MESA AZ
85209-3320
US
V. Phone/Fax
- Phone: 602-262-8900
- Fax: 602-262-8890
- Phone: 480-561-5000
- Fax: 480-984-4066
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 55654 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 55654 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: