Healthcare Provider Details

I. General information

NPI: 1275221475
Provider Name (Legal Business Name): CHRISTIAN JOHN SALANG CAPIRIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 E MCDOWELL RD LL2
PHOENIX AZ
85006
US

IV. Provider business mailing address

1111 E MCDOWELL RD LL2
PHOENIX AZ
85006
US

V. Phone/Fax

Practice location:
  • Phone: 602-521-3400
  • Fax: 808-586-7486
Mailing address:
  • Phone: 602-521-3400
  • Fax: 808-586-7486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberR82283
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberR82283
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: