Provider Demographics
NPI:1093051674
Name:VARTEVAN, NORVAN K (DO)
Entity Type:Individual
Prefix:
First Name:NORVAN
Middle Name:K
Last Name:VARTEVAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 N SCOTTSDALE RD STE 9-332
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3331
Mailing Address - Country:US
Mailing Address - Phone:480-572-2444
Mailing Address - Fax:602-581-7158
Practice Address - Street 1:5410 N SCOTTSDALE RD STE B200
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-5910
Practice Address - Country:US
Practice Address - Phone:480-572-2444
Practice Address - Fax:602-581-7158
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-30
Last Update Date:2021-02-22
Deactivation Date:2020-09-22
Deactivation Code:
Reactivation Date:2020-09-30
Provider Licenses
StateLicense IDTaxonomies
AZ007124207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine