Provider Demographics
NPI:1548255516
Name:KAPNER, JAMIE HARRIS (MD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:HARRIS
Last Name:KAPNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10250 N 92ND ST
Mailing Address - Street 2:SUITE 118
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4510
Mailing Address - Country:US
Mailing Address - Phone:480-860-6486
Mailing Address - Fax:480-860-0896
Practice Address - Street 1:10250 N 92ND ST
Practice Address - Street 2:SUITE 118
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4510
Practice Address - Country:US
Practice Address - Phone:480-860-6486
Practice Address - Fax:480-860-0896
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2010-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ14167208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
340002015OtherRR MED
AZ0181310OtherBCBS
246670OtherAHCCS
246670OtherAHCCS
WDBPJ01Medicare ID - Type Unspecified