Healthcare Provider Details

I. General information

NPI: 1710966239
Provider Name (Legal Business Name): DEBORAH L BALDEMOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9458 E IRONWOOD SQUARE DR STE 102
SCOTTSDALE AZ
85258-4571
US

IV. Provider business mailing address

9458 E IRONWOOD SQUARE DR STE 102
SCOTTSDALE AZ
85258-4571
US

V. Phone/Fax

Practice location:
  • Phone: 480-767-7699
  • Fax:
Mailing address:
  • Phone: 480-767-7699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number26429
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: