Individual
DR. PATRICK VIVIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 S ALMA SCHOOL RD HOUSE STAFF ADMINISTRATION, CHANDLER, AZ 85286-5425
(480) 256-7000
Mailing address
3104 STOCKTON HILL ROAD, DEPARTMENT OF INTERNAL MEDICINE, KINGMAN, AZ 86401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60153
AZ
208M00000X
Hospitalist Physician
Primary
60153
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
05/23/2024
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