Healthcare Provider Details

I. General information

NPI: 1558402537
Provider Name (Legal Business Name): JAMES MILTON NACHBAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8896 E BECKER LN STE 102
SCOTTSDALE AZ
85260-6281
US

IV. Provider business mailing address

8896 E BECKER LN STE 102
SCOTTSDALE AZ
85260-6281
US

V. Phone/Fax

Practice location:
  • Phone: 480-314-1574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number13484
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: