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

Tyler Dirvonas, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407275837

Tyler Dirvonas, MD is a Student in an Organized Health Care Education/Training Program in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21807 N Scottsdale Rd
Scottsdale, AZ 85255-7439
Phone: (480) 860-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 53782 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407275837
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESJuly 21, 2022

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