Provider Demographics
NPI:1619025335
Name:SAPIN, NEIL J (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:J
Last Name:SAPIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6320A W UNION HILLS DR STE 170
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7180
Mailing Address - Country:US
Mailing Address - Phone:623-537-2280
Mailing Address - Fax:623-537-2253
Practice Address - Street 1:6320A W UNION HILLS DR STE 170
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7180
Practice Address - Country:US
Practice Address - Phone:623-537-2280
Practice Address - Fax:623-537-2253
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9912207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE45448Medicare UPIN
AZZ74854Medicare ID - Type Unspecified