Provider Demographics
NPI:1558545509
Name:LIVI, JORDI SPARTACO (MD)
Entity Type:Individual
Prefix:DR
First Name:JORDI
Middle Name:SPARTACO
Last Name:LIVI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11000 N SCOTTSDALE RD # AZ
Mailing Address - Street 2:110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6130
Mailing Address - Country:US
Mailing Address - Phone:480-607-0606
Mailing Address - Fax:480-498-3725
Practice Address - Street 1:6380 E THOMAS RD STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7033
Practice Address - Country:US
Practice Address - Phone:480-607-0606
Practice Address - Fax:480-498-3725
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2023-02-24
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Provider Licenses
StateLicense IDTaxonomies
AZ41583207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine