Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 40551 | AZ |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 40551 | AZ |
N | 207VG0400X | Gynecologist | 40551 | AZ |
N | 207VX0000X | Obstetrician | 40551 | AZ |
NPI | 1285022111 |
---|---|
Provider Name | Dr. Richard Alan Isenberg |
First Address | Scottsdale, AZ 85251-6410 |
Second Address | Scottsdale, AZ 85251-6410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2014 |
Last Update Date | 25/05/2015 |