Healthcare Provider Details

I. General information

NPI: 1902942980
Provider Name (Legal Business Name): NORMAN J BIZON PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8603 E ROYAL PALM RD STE 120
SCOTTSDALE AZ
85258-4389
US

IV. Provider business mailing address

8927 E FRIESS DR
SCOTTSDALE AZ
85260-7077
US

V. Phone/Fax

Practice location:
  • Phone: 480-435-2774
  • Fax: 480-436-6425
Mailing address:
  • Phone: 480-435-2774
  • Fax: 480-436-6425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1585
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1585
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: