Provider Demographics
NPI:1538472733
Name:GIOVINO, JAMES MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:GIOVINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 W PLACITA RANCHO NARANJO
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-7220
Mailing Address - Country:US
Mailing Address - Phone:520-877-7964
Mailing Address - Fax:
Practice Address - Street 1:5501 N LA PALMA RD
Practice Address - Street 2:MAIN MEDICAL UNIT
Practice Address - City:ELOY
Practice Address - State:AZ
Practice Address - Zip Code:85131-9641
Practice Address - Country:US
Practice Address - Phone:520-464-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30865207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine