Healthcare Provider Details

I. General information

NPI: 1386089175
Provider Name (Legal Business Name): AMY MICHELLE SINGER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20745 N SCOTTSDALE RD STE 100
SCOTTSDALE AZ
85255-6595
US

IV. Provider business mailing address

2500 W UTOPIA RD STE 100
PHOENIX AZ
85027-4172
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-7500
  • Fax:
Mailing address:
  • Phone: 480-882-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number006949
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: