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Contact Information

ROBERT M OSIPOV, MD
13555 W MCDOWELL RD STE 210
GOODYEAR, AZ85395-2628
 Phone: 800-991-6117
 Fax: 888-812-8191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Phlebology

202K00000X
Indicates primary specialty

NPI Profile & details for ROBERT M OSIPOV · (Male)

NPI Number 1659493922
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2007
Last updated 04/01/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 36357
  • AZ Medicaid 612518
Hospital affiliation(s)
  • CHANDLER REGIONAL MEDICAL CENTER - (Acute Care)
    1955 WEST FRYE ROAD
    CHANDLER, AZ 85224
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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