Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roman Dmitriyev, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467193185

Dr. Roman Dmitriyev, DO is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837
Phone: (602) 521-5969
Fax: (602) 521-5987
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1467193185
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address1441 N 12th St Fl 2, Phoenix, AZ 85006-2837

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