Healthcare Provider Details

I. General information

NPI: 1386731214
Provider Name (Legal Business Name): GARY A. ADLER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13840 N NORTHSIGHT BLVD SUITE 121
SCOTTSDALE AZ
85260-3665
US

IV. Provider business mailing address

13840 N NORTHSIGHT BLVD SUITE 121
SCOTTSDALE AZ
85260-3665
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-8380
  • Fax:
Mailing address:
  • Phone: 480-860-8380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number14224
License Number StateAZ

VIII. Authorized Official

Name: DR. GARY A ADLER
Title or Position: PHYSICIAN
Credential: MD
Phone: 480-860-8380