MEDICARE: DR. ROBERTO NARVAIZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	AZ24047	AZ
2	2084P0804X	Child & Adolescent Psychiatry Physician	AZ24047	AZ

General Provider Information

NPI Number	:	1821067117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERTO NARVAIZ MD

Provider Business Mailing Address
First Line	:	1417 E STEAMBOAT BEND DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-2177
Country	:	US
Telephone Number	:	480-557-7982
Fax Number	:	480-894-8881

Provider Business Practice Location Address
First Line	:	1050 E SOUTHERN AVE
Second Line	:	#A1
City	:	TEMPE
State	:	AZ
Zip	:	85282-5403
Country	:	US
Telephone Number	:	480-557-7982
Fax Number	:	480-894-8881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	03/02/2017

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Directions to “ DR. ROBERTO NARVAIZ MD” Practice Location

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