Provider Demographics
NPI:1194711929
Name:DAPPEN, ROBERT WESLEY (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:WESLEY
Last Name:DAPPEN
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 1:333 N DOBSON RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4412
Mailing Address - Country:US
Mailing Address - Phone:480-899-2020
Mailing Address - Fax:480-899-9081
Practice Address - Street 1:333 N DOBSON RD
Practice Address - Street 2:SUITE 11
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4412
Practice Address - Country:US
Practice Address - Phone:480-899-2020
Practice Address - Fax:480-899-9081
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15332207RI0011X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1356334346OtherGROUP NPI
AZD25236Medicare UPIN
1356334346OtherGROUP NPI
AZ06WCKFY02Medicare PIN