Individual
DR. VITALIY ZHIVOTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5410 N SCOTTSDALE RD STE I-100A, PARADISE VALLEY, AZ 85253-5927
(480) 572-2444
(602) 581-7158
Mailing address
5410 N SCOTTSDALE RD STE I-100A, PARADISE VALLEY, AZ 85253-5927
(480) 572-2444
(602) 581-7158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
282150
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
008793
AZ
208VP0014X
Interventional Pain Medicine Physician
282150
NY
Other
Enumeration date
05/13/2011
Last updated
10/03/2025
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