Healthcare Provider Details

I. General information

NPI: 1184486821
Provider Name (Legal Business Name): CAMERON TOEPFER BS, BHT3
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 S MCCLINTOCK DR STE 114
TEMPE AZ
85282-7381
US

IV. Provider business mailing address

4515 S MCCLINTOCK DR STE 114
TEMPE AZ
85282-7381
US

V. Phone/Fax

Practice location:
  • Phone: 480-641-1165
  • Fax: 602-900-0969
Mailing address:
  • Phone:
  • Fax: 602-900-0969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberBS
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: