Healthcare Provider Details

I. General information

NPI: 1508046202
Provider Name (Legal Business Name): JAMIE KAPNER MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10250 N 92ND ST #118
SCOTTSDALE AZ
85258-4510
US

IV. Provider business mailing address

10250 N 92ND ST #118
SCOTTSDALE AZ
85258-4510
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-6486
  • Fax:
Mailing address:
  • Phone: 480-860-6486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number StateAZ

VIII. Authorized Official

Name: PEGGY KAPNER
Title or Position: ADMIN
Credential:
Phone: 480-860-6486