Individual
TARO KAIBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 W FRYE RD STE 300, CHANDLER, AZ 85224-6184
(480) 917-5600
(602) 294-4494
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(480) 917-5600
(602) 294-4494
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35239
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087551
—
AZ
Enumeration date
04/20/2006
Last updated
01/06/2021
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