Individual provider · Type 1 NPI

Daniel Anthony Indilicato, PA

Surgical Physician Assistant · Gilbert, AZ

NPI number 1659395655 Active

Practice location

1094 S Gilbert Rd, Suite 203
Gilbert, AZ 85296-3445

Call (480) 882-4000 Map

Mailing address

PO Box 8131
Scottsdale, AZ 85252-8131

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X4385 (AZ)

Surgical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1659395655

Daniel Anthony Indilicato, PA's National Provider Identifier is 1659395655, issued on Jul 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gilbert, AZ. The record was last updated on Apr 27, 2010.