Healthcare Provider Details
I. General information
NPI: 1689590747
Provider Name (Legal Business Name): DOCTOR MATRIX MEDICAL GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7033 E GREENWAY PKWY STE 310
SCOTTSDALE AZ
85254-2084
US
IV. Provider business mailing address
7033 E GREENWAY PKWY STE 310
SCOTTSDALE AZ
85254-2084
US
V. Phone/Fax
- Phone: 480-707-4549
- Fax: 833-701-6984
- Phone: 480-707-4538
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MARIA
FLANSBAUM
Title or Position: CHIEF CLINICAL & REGULATORY OFFICER
Credential:
Phone: 480-707-4538