Provider Demographics
NPI:1295858421
Name:BRIAN D. ESPINOZA, M.D., P.C.
Entity Type:Organization
Organization Name:BRIAN D. ESPINOZA, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-941-7611
Mailing Address - Street 1:7575 E EARLL DR
Mailing Address - Street 2:BANNER BEHAVIORAL HEALTH ECT DEPARTMENT
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6915
Mailing Address - Country:US
Mailing Address - Phone:480-941-7611
Mailing Address - Fax:480-941-7641
Practice Address - Street 1:7575 E EARLL DR
Practice Address - Street 2:BANNER BEHAVIORAL HEALTH ECT DEPARTMENT
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6915
Practice Address - Country:US
Practice Address - Phone:480-941-7611
Practice Address - Fax:480-941-7641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ254752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty