DAVID CIVIC

PHOENIX, AZ
NPI1457462202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  42516)
Enumeration Date2006-08-31
Last Update Date2014-10-16
Business Address
-- DAVID CIVIC MD
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- DAVID CIVIC MD
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511