Provider Demographics
NPI:1306885249
Name:CAROPRESO, DAVID K (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:CAROPRESO
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 1:2400 S AVENUE A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7127
Mailing Address - Country:US
Mailing Address - Phone:928-344-2000
Mailing Address - Fax:
Practice Address - Street 1:2270 S RIDGEVIEW DR STE 302
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8866
Practice Address - Country:US
Practice Address - Phone:928-336-3170
Practice Address - Fax:928-336-3171
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI41568-020208800000X
AZ57865208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34401500Medicaid
AZZ226299OtherMEDICARE
AZ496153Medicaid
WI34401500Medicaid
WI130800335Medicare PIN
WIP00050928Medicare PIN
WIH91234Medicare UPIN
WI010457085Medicare PIN