Provider Demographics
NPI:1326007014
Name:CREECH, DAVID MACNAUGHTON (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MACNAUGHTON
Last Name:CREECH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7776 S. POINTE PKWY W.
Mailing Address - Street 2:#135
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044
Mailing Address - Country:US
Mailing Address - Phone:602-431-9585
Mailing Address - Fax:602-431-1677
Practice Address - Street 1:7776 S. POINTE PKWY W.
Practice Address - Street 2:#135
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044
Practice Address - Country:US
Practice Address - Phone:602-431-9585
Practice Address - Fax:602-431-1677
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ16108208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZC68644Medicare UPIN