Healthcare Provider Details

I. General information

NPI: 1245391838
Provider Name (Legal Business Name): DAVID W SIPES D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 E BELL RD STE 107
SCOTTSDALE AZ
85260-2188
US

IV. Provider business mailing address

8310 E SAN BENITO DR
SCOTTSDALE AZ
85258-2439
US

V. Phone/Fax

Practice location:
  • Phone: 480-538-1900
  • Fax:
Mailing address:
  • Phone: 480-991-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4893
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: