Provider Demographics
NPI:1386023760
Name:KLEIN, DANA MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:MICHAEL
Last Name:KLEIN
Suffix:
Gender:
Credentials:DO
Other - Prefix:DR
Other - First Name:DANE
Other - Middle Name:MICHAEL
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:2500 W UTOPIA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4172
Mailing Address - Country:US
Mailing Address - Phone:623-434-6200
Mailing Address - Fax:602-944-8062
Practice Address - Street 1:7301 E 2ND ST STE 210
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5620
Practice Address - Country:US
Practice Address - Phone:480-534-4515
Practice Address - Fax:480-882-5885
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR3076204D00000X
AZ007693207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM