Healthcare Provider Details

I. General information

NPI: 1649546193
Provider Name (Legal Business Name): ACE ASSAF OVIL M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ASSA OVIL M.D

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16601 N 40TH ST STE 204
PHOENIX AZ
85032-3356
US

IV. Provider business mailing address

16601 N 40TH ST STE 204
PHOENIX AZ
85032-3356
US

V. Phone/Fax

Practice location:
  • Phone: 602-633-3721
  • Fax: 602-595-1127
Mailing address:
  • Phone: 602-633-3721
  • Fax: 602-953-5466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number56127
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number56127
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number56127
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: