Healthcare Provider Details

I. General information

NPI: 1871585711
Provider Name (Legal Business Name): DAVID S SAPERSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7054 E. COCHISE ROAD STE B230
SCOTTSDALE AZ
85253-4550
US

IV. Provider business mailing address

7054 E. COCHISE ROAD STE B230
SCOTTSDALE AZ
85253-4550
US

V. Phone/Fax

Practice location:
  • Phone: 602-900-9404
  • Fax: 602-903-6587
Mailing address:
  • Phone: 602-900-9404
  • Fax: 602-903-6587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number34039
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: