BRETT C DIRVONAS

PHOENIX, AZ
NPI1568148302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  RN195267)
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
BRETT C DIRVONAS
1919 E THOMAS RD
PHOENIX, AZ 85016-7710
Phone number: 602-933-0920
Mailing Address
BRETT C DIRVONAS
2108 E THOMAS RD STE 130
PHOENIX, AZ 85016-0008
Phone number: 602-933-1813
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