Provider Demographics
NPI:1679692594
Name:SHPRECHER, DAVID ROBERT (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ROBERT
Last Name:SHPRECHER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:10515 W SANTA FE DR BLDG B
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3020
Mailing Address - Country:US
Mailing Address - Phone:623-832-6530
Mailing Address - Fax:623-832-6504
Practice Address - Street 1:10515 W SANTA FE DR BLDG B
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3020
Practice Address - Country:US
Practice Address - Phone:623-832-6530
Practice Address - Fax:623-832-6504
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT5756821-12042084N0400X
NY244188-12084N0400X
AZ68212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB5055OtherMEDICARE PTAN