Provider Demographics
NPI:1770549719
Name:VICTOR, WARREN H (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:H
Last Name:VICTOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4800 N 22ND ST STE 210
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4963
Mailing Address - Country:US
Mailing Address - Phone:480-892-8400
Mailing Address - Fax:602-508-4830
Practice Address - Street 1:10615 W THUNDERBIRD BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3018
Practice Address - Country:US
Practice Address - Phone:480-892-8400
Practice Address - Fax:602-508-4830
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2022-11-29
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Provider Licenses
StateLicense IDTaxonomies
AZ14979207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ504367Medicaid