Healthcare Provider Details

I. General information

NPI: 1720171143
Provider Name (Legal Business Name): MATTHEW WEBB DOUST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17500 N PERIMETER DR STE 100
SCOTTSDALE AZ
85255-7800
US

IV. Provider business mailing address

9401 W THUNDERBIRD RD STE 180
PEORIA AZ
85381-4210
US

V. Phone/Fax

Practice location:
  • Phone: 623-516-8252
  • Fax: 623-516-8253
Mailing address:
  • Phone: 623-516-8252
  • Fax: 623-516-8253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number29038
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: