Individual
TYLER DIRVONAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21807 N SCOTTSDALE RD, SCOTTSDALE, AZ 85255-7439
(480) 860-8488
Mailing address
21807 N SCOTTSDALE RD, SCOTTSDALE, AZ 85255-7439
(480) 860-8488
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53782
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
07/21/2022
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