MEDICARE: DR. DAVID MCKEON PRIOR MD

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	57942	AZ
2	207X00000X	Orthopaedic Surgery Physician	57942	AZ

General Provider Information

NPI Number	:	1467772392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MCKEON PRIOR MD

Provider Business Mailing Address
First Line	:	PO BOX 80217
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85060-0217
Country	:	US
Telephone Number	:	602-385-2115
Fax Number	:	480-418-3323

Provider Business Practice Location Address
First Line	:	33300 N 32ND AVE STE 320
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85085-8826
Country	:	US
Telephone Number	:	602-648-5444
Fax Number	:	602-772-3801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2010
Last Update Date	:	02/04/2026

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