Individual
DR. VIRGILIO H EVIDENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9590 E IRONWOOD SQUARE DR STE 225, SCOTTSDALE, AZ 85258-4599
(480) 526-5441
(480) 526-5443
Mailing address
9590 E IRONWOOD SQUARE DR STE 225, SCOTTSDALE, AZ 85258-4599
(480) 526-5441
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
24438
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130013882
RAILROAD MEDICARE
AZ
05
—
356247
—
AZ
01
—
86080015085259A016
TRIWEST
AZ
Enumeration date
12/06/2005
Last updated
08/09/2012
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