Individual
CRISTIAN N JIVCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10585 N TATUM BLVD, STE D130, PARADISE VALLEY, AZ 85253-1073
(602) 559-9966
(602) 395-8984
Mailing address
5151 E BROADWAY RD, STE 107, MESA, AZ 85206-1346
(480) 290-7000
(602) 254-6840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
81314
AZ
207RP1001X
Pulmonary Disease Physician
Primary
42944
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945196
—
AZ
01
—
Z171598
MEDICARE
AZ
Enumeration date
06/21/2007
Last updated
12/13/2018
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