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NPI Code Detail

MEDICARE: DAVID L GREENSPAN MD PLLC

MEDICARE: DAVID L GREENSPAN MD PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician28350AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356491989
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID L GREENSPAN MD PLLC
Provider Business Mailing Address
First Line : 600 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4213
Country : US
Telephone Number : 602-234-1300
Fax Number : 602-234-0202
Provider Business Practice Location Address
First Line : 600 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4213
Country : US
Telephone Number : 602-234-1300
Fax Number : 602-234-0202
Authorized Official
Title or Position : PHYSICIAN
Name : DAVID L GREENSPAN
Credential : MD
Telephone Number : 602-234-1300
Provider Enumeration Date : 01/12/2007
Last Update Date : 09/01/2011

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Directions to “DAVID L GREENSPAN MD PLLC ” Practice Location

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