Adam David Da Virro, LAC.
Individual provider Active NPI Acupuncturist · Sedona, AZ
NPI 1679397251 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1679397251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- LAC-000638 (AZ)
- Practice address
- 2940 Southwest Dr Ste 3
Sedona, AZ 86336-3717 - Phone
- (928) 310-8919
- NPI assigned
- Nov 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-000638 | AZ | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | LAC-000638 | AZ | Yes |
Addresses
Primary practice location
2940 Southwest Dr Ste 3
Sedona, AZ 86336-3717
Mailing address
251 Chavez Ranch Rd
Sedona, AZ 86336-6717
Phone (928) 310-8919
Other providers in Sedona, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.