Provider Demographics
NPI:1194874164
Name:DARVAS, PETER R (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:R
Last Name:DARVAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10382 E ACOMA DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-1708
Mailing Address - Country:US
Mailing Address - Phone:480-275-6117
Mailing Address - Fax:
Practice Address - Street 1:8360 E RAINTREE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2508
Practice Address - Country:US
Practice Address - Phone:480-513-9580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5587111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZV06587Medicare UPIN
AZ10544Medicare ID - Type Unspecified