Individual provider · Type 1 NPI

Fallon Rayne Damico, PA-C

Medical Physician Assistant · Phoenix, AZ

NPI number 1942679741 Active

Practice location

9305 W Thomas Rd Ste 285
Phoenix, AZ 85037-3365

Call (602) 677-3801 Map

Fax (877) 569-2006

Other practice locations

  • 16838 E Palisades Blvd, Bldg C Ste 153, Fountain Hills, AZ 85268-3786 · (480) 816-3131

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X6188 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1942679741

Fallon Rayne Damico, PA-C's National Provider Identifier is 1942679741, issued on Sep 22, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 20, 2023.