Individual
MR. VICTOR AIRE-OAIHIMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 278-4930
(602) 269-7772
Mailing address
3306 W ROOSEVELT ST, PHOENIX, AZ 85009-3404
(602) 889-9401
(602) 889-9404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3735
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407779
—
AZ
Enumeration date
10/01/2008
Last updated
03/23/2022
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