Provider Demographics
NPI:1437316072
Name:COURTNEY A HUNT MD PC
Entity Type:Organization
Organization Name:COURTNEY A HUNT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PRACTITIONER AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACOQ
Authorized Official - Phone:480-970-1937
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85252
Mailing Address - Country:US
Mailing Address - Phone:480-970-1937
Mailing Address - Fax:480-970-1938
Practice Address - Street 1:3501 N SCOTTSDALE RD
Practice Address - Street 2:STE 230
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251
Practice Address - Country:US
Practice Address - Phone:480-970-1937
Practice Address - Fax:480-970-1938
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COURTNEY A HUNT MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-21
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ702086Medicaid
H39987Medicare UPIN
AZZ105449Medicare PIN