Provider Demographics
NPI:1942430418
Name:NESTOR VARON MD PC
Entity Type:Organization
Organization Name:NESTOR VARON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:FABIO
Authorized Official - Last Name:VARON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-824-8108
Mailing Address - Street 1:29729 N 69TH LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-3185
Mailing Address - Country:US
Mailing Address - Phone:623-824-8108
Mailing Address - Fax:877-422-8771
Practice Address - Street 1:29729 N 69TH LN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-3185
Practice Address - Country:US
Practice Address - Phone:623-824-8108
Practice Address - Fax:877-422-8771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32203207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty