Healthcare Provider Details
I. General information
NPI: 1700831120
Provider Name (Legal Business Name): SAVIN MEDICAL CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/24/2006
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9825 N 95TH ST SUITE 105
SCOTTSDALE AZ
85258-4590
US
IV. Provider business mailing address
9825 N 95TH ST SUITE 105
SCOTTSDALE AZ
85258-4590
US
V. Phone/Fax
- Phone: 480-945-2434
- Fax: 480-945-2435
- Phone: 480-945-2434
- Fax: 480-945-2435
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0300X |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| License Number | 25862 |
| License Number State | AZ |
VIII. Authorized Official
Name: DR.
EVGENIJE
SAVIN
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 480-945-2434