Provider Demographics
NPI:1326152869
Name:SIRVENT, FRANCISCO (CSA)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:SIRVENT
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 S DOBSON RD
Mailing Address - Street 2:SUITE A-108
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5667
Mailing Address - Country:US
Mailing Address - Phone:480-835-2250
Mailing Address - Fax:480-835-2324
Practice Address - Street 1:655 S DOBSON RD
Practice Address - Street 2:SUITE A-108
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5667
Practice Address - Country:US
Practice Address - Phone:480-835-2250
Practice Address - Fax:480-835-2324
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0146220OtherBCBS