Healthcare Provider Details

I. General information

NPI: 1295022044
Provider Name (Legal Business Name): DAVID E PAZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD MAYO CLINIC ARIZONA
SCOTTSDALE AZ
85259-5452
US

IV. Provider business mailing address

13400 E. SHEA BLVD MAYO CLINIC ARIZONA
SCOTTSDALE AZ
85259
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax: 480-301-8000
Mailing address:
  • Phone: 480-301-8000
  • Fax: 480-301-8000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01073239A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number58433
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01073239A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number58433
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number01073239A
License Number StateIN
# 6
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number48435
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number58433
License Number StateMN
# 8
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01073239A
License Number StateIN
# 9
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number48435
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: