Healthcare Provider Details

I. General information

NPI: 1346685682
Provider Name (Legal Business Name): ADAM DRAPER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2013
Last Update Date: 01/03/2024
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 E 2ND ST SUITE 210
SCOTTSDALE AZ
85251-5600
US

IV. Provider business mailing address

7301 E 2ND ST SUITE 210
SCOTTSDALE AZ
85251-5600
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-4545
  • Fax: 480-946-6997
Mailing address:
  • Phone: 480-882-4545
  • Fax: 480-946-6997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number52838
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number52838
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: