Healthcare Provider Details

I. General information

NPI: 1922104116
Provider Name (Legal Business Name): HOWARD H GINSBURG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 12/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 WEST THOMAS ROAD #307
PHOENIX AZ
85013-4422
US

IV. Provider business mailing address

222 WEST THOMAS ROAD #307
PHOENIX AZ
85013-4422
US

V. Phone/Fax

Practice location:
  • Phone: 602-264-7111
  • Fax: 602-264-8152
Mailing address:
  • Phone: 602-264-7111
  • Fax: 602-264-8152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberAZ1005
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: