Healthcare Provider Details

I. General information

NPI: 1952346744
Provider Name (Legal Business Name): JIN H YUK MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33755 N SCOTTSDALE RD STE 101&105
SCOTTSDALE AZ
85266-1567
US

IV. Provider business mailing address

15029 N THOMPSON PEAK PARKWAY SUITE B-111-594
SCOTTSDALE AZ
85260-2217
US

V. Phone/Fax

Practice location:
  • Phone: 480-515-9444
  • Fax: 480-513-0174
Mailing address:
  • Phone: 480-381-7180
  • Fax: 480-660-2150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JIN H YUK
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 480-381-7180