Healthcare Provider Details

I. General information

NPI: 1407826985
Provider Name (Legal Business Name): GREGORY R CURVAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 E BASELINE RD
PHOENIX AZ
85042-6551
US

IV. Provider business mailing address

5040 N 15TH AVE STE 104
PHOENIX AZ
85015-3329
US

V. Phone/Fax

Practice location:
  • Phone: 602-243-7277
  • Fax: 602-243-1235
Mailing address:
  • Phone: 623-846-6957
  • Fax: 623-849-2055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number30609
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: