Provider Demographics
NPI:1679215719
Name:TWITCHELL, DAVID KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KEVIN
Last Name:TWITCHELL
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 1:1441 N. 12TH ST.
Mailing Address - Street 2:ADVANCED LIVER DISEASE AND TRANSPLANT CENTER, FLOOR # 2
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-521-5800
Mailing Address - Fax:602-521-5334
Practice Address - Street 1:1441 N. 12TH ST.
Practice Address - Street 2:ADVANCED LIVER DISEASE AND TRANSPLANT CENTER, FLOOR # 2
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-521-5800
Practice Address - Fax:602-521-5334
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-09
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ77448207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBP10078779OtherTEXAS MEDICAL BOARD
AZ77448OtherLICENSE