Healthcare Provider Details

I. General information

NPI: 1245486356
Provider Name (Legal Business Name): ROSS A. LIRTZMAN D.V.M., DIPL. ACVS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2008
Last Update Date: 08/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 E PINNACLE PEAK RD SUITE 114
SCOTTSDALE AZ
85255-3612
US

IV. Provider business mailing address

7410 E PINNACLE PEAK RD SUITE 114
SCOTTSDALE AZ
85255-3612
US

V. Phone/Fax

Practice location:
  • Phone: 480-998-5999
  • Fax: 480-998-1177
Mailing address:
  • Phone: 480-998-5999
  • Fax: 480-998-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number4317
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number4317
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: