Search › Arizona › 208200000X
Burt Faibisoff, MD
NPI 1730128695 · on the registry since 2006 · sole proprietor
Practice
- Address
- 810 Ainsworth Dr
Prescott, AZ 86301 - Phone
- (928) 515-1155
- Fax
- (928) 460-5158
- Organisation at this address
- Yavapai Surgical Pc
James Leo, M.D., Pllc
Prescott Surgical Clinic Pa
Prescott Medical And Dermatology GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 2820 N Glassford Hill Rd Ste 103, Prescott Valley, AZ
- 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ
- 820 Ainsworth Dr Ste B, Prescott, AZ
- 2035 Mesquite Ave, Lake Havasu City, AZ
- 203 S Candy Ln # 14, Cottonwood, AZ
- 2501 N Stockton Hill Rd Ste 108, Kingman, AZ
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Also registered as
- 2082S0105X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona