Healthcare Provider Details

I. General information

NPI: 1992006852
Provider Name (Legal Business Name): DAVID C HAUSER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2010
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E CHANDLER BLVD STE 308
PHOENIX AZ
85048-7646
US

IV. Provider business mailing address

4545 E CHANDLER BLVD STE 308
PHOENIX AZ
85048-7646
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-7584
  • Fax: 480-210-0230
Mailing address:
  • Phone: 480-626-7584
  • Fax: 480-210-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD76290
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number69309
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: