MR. DAVID CRUZ OLIVAREZ


Address: 1735 Nw Grand Ave, Phoenix, AZ 85007-1801
Phone: 6022583876

MR. DAVID CRUZ OLIVAREZ (NPI# 1992942924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992942924
Entity Type Individual
Full Name MR. DAVID CRUZ OLIVAREZ
Credential LISAC
Practice Address 1735 Nw Grand Ave
Phoenix
AZ 85007-1801
Mailing Address 1811 S Alma School Rd Ste 160
Mesa
AZ 85210-3003
Practice Telephone 6022583876
Mailing Telephone 4808317566
Mailing Fax Number 4809627671
Enumeration Date 2009-01-13
Last Update Date 2009-01-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LISA-10277 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 1735 NW GRAND AVE
City PHOENIX
State AZ
Zip Code 85007-1801

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1518924802 Michael James Higbee Physician Assistant 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 2006-04-28
1942278676 David Paul Brown Emergency Medicine 1201 S 7 Avenue, Phoenix, AZ 85007 2006-03-09
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85007

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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