Tyrone Favis, O.D

NPI 1003112798 · on the registry since 2011 · sole proprietor

Practice

Address: 2500 E Van Buren St
Phoenix, AZ 85008
Phone: (602) 559-4606
Organisation at this address: State Of Arizona
Arizona Department Of Corrections
State Of Arizona State Dept Of Finance
State Of Arizona State Dept Of Finance
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona