Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 28516 | AZ |
NPI | 1659367910 |
---|---|
Provider Name | David Allan Hecht |
First Address | Scottsdale, AZ 85255-4134 |
Second Address | Scottsdale, AZ 85255-4134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G99703 | (02) |