Individual
MATTHEW DINOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-6255
Mailing address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R75442
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R75442
—
AZ
Enumeration date
04/07/2016
Last updated
04/07/2016
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