Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Debra S Wickman, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1407943939

Dr. Debra S Wickman, MD is an Obstetrics/Gynecology in Phoenix, Arizona. Graduated from University of Washington School of Medicine in 1994, 32 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
32
Trained at
University of Washington School of Medicine
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15810 S 45th St Ste 105
Phoenix, AZ 85048-7695
Phone: (480) 827-5390
Fax: (602) 521-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 N 12th St Fl 3, Phoenix, AZ 85006-2837 — (602) 521-5700

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 26444 (AZ)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 26444 (AZ)

Record details

NPI number1407943939
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023
Mailing address15810 S 45th St Ste 105, Phoenix, AZ 85048-7695

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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