person
Daniel Anthony Indilicato, PA
Surgical Physician Assistant in Gilbert, Arizona
NPI 1659395655

Daniel Anthony Indilicato is a Surgical Physician Assistant based in Scottsdale, AZ and is specialized in Surgical. Daniel Anthony Indilicato practices in Gilbert, AZ and has the professional credentials of PA. The NPI Number for Daniel Anthony Indilicato is 1659395655 and holds a License No. 4385 (Arizona).

The current practice location address for Daniel Anthony Indilicato is 1094 S Gilbert Rd, Gilbert, AZ and can be reached out via phone at 480-882-4000.

Location: 1094 S Gilbert Rd, Gilbert, AZ, 85252-8131
person
Provider Profile Details
NPI Number
1659395655
Provider Name
Daniel Anthony Indilicato
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1094 S Gilbert Rd, Gilbert, AZ, 85252-8131
Phone Number
480-882-4000
Fax Number
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000494574001 01 NY BLUE SHIELD
040511001092 01 NY FIDELIS CARE
institution
Provider Business Practice Location Address Details
Address
1094 S Gilbert Rd
City
State
Zip
85296-3445
Phone Number
480-882-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1094 S Gilbert Rd
City
State
Zip
85296-3445
Phone Number
480-882-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
4385 (Arizona)
Definition
Definition to come...
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