Healthcare Provider Details

I. General information

NPI: 1558276881
Provider Name (Legal Business Name): ADVANCED ENDOCRINOLOGY AND METABOLISM, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 E BELL RD STE 200
PHOENIX AZ
85032-2159
US

IV. Provider business mailing address

3811 E BELL RD STE 200
PHOENIX AZ
85032-2159
US

V. Phone/Fax

Practice location:
  • Phone: 602-787-1830
  • Fax: 602-787-1835
Mailing address:
  • Phone: 602-787-1830
  • Fax: 602-787-1835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY M DAVID
Title or Position: MANAGER
Credential:
Phone: 602-787-1830