Healthcare Provider Details

I. General information

NPI: 1831297274
Provider Name (Legal Business Name): DAVID WANG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7242 E OSBORN RD STE 400
SCOTTSDALE AZ
85251-6494
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 602-258-3354
  • Fax: 602-258-3368
Mailing address:
  • Phone: 623-683-4462
  • Fax: 623-683-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number007976
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036-092078
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number007976
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: