Healthcare Provider Details

I. General information

NPI: 1770225807
Provider Name (Legal Business Name): MICHAEL SCHNEPF DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2022
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10901 E MCDOWELL RD
SCOTTSDALE AZ
85256-5300
US

IV. Provider business mailing address

10901 E MCDOWELL RD
SCOTTSDALE AZ
85256-5300
US

V. Phone/Fax

Practice location:
  • Phone: 480-873-0776
  • Fax: 480-882-6801
Mailing address:
  • Phone: 480-278-7742
  • Fax: 480-826-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number010736
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: