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Individual

DR. DAVID CRAIG IZENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5252 E MAIN ST, MESA, AZ 85205-8022
(480) 396-3222
(480) 641-3401
Mailing address
5252 E MAIN ST, MESA, AZ 85205-8022
(480) 396-3222
(480) 641-3401

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2253
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262741
AZ
01
AZ0221190
BCBS ID
AZ
Enumeration date
08/18/2006
Last updated
09/08/2020
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