Provider Demographics
NPI:1770557126
Name:BELISLE, DENISE YVETTE (MD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:YVETTE
Last Name:BELISLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 S HIGLEY RD STE 114-440
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-5436
Mailing Address - Country:US
Mailing Address - Phone:480-597-4835
Mailing Address - Fax:833-450-5489
Practice Address - Street 1:2181 E PECOS RD STE 1
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-6140
Practice Address - Country:US
Practice Address - Phone:480-597-4835
Practice Address - Fax:833-450-5489
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30248207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ704355Medicaid
AZH75754Medicare UPIN
AZ107167Medicare ID - Type Unspecified