Male or Other

Mark W. Imig M.D.

Psychiatry Physician in Scottsdale, AZ(View on Map)

Full Name

Mark W Imig M.D.

NPI Number

1134240245

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/03/2007

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Arizona
Minnesota

License Number

47647
49755

Contact
Information

Purpose

Mailing
Location

Address

13400 E SHEA BLVD
13400 E SHEA BLVD

City

Scottsdale
Scottsdale

State

AZ
AZ

Postal Code

85259-5452
85259-5452

Country

US
US

Telephone Number

(480) 301-8000
(480) 301-8000

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mimig398022@ehrdirect.mayoclinicmsg.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

13400 E Shea BlvdScottsdale, AZ852595452US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/09/2020

Provider Address

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