# JOHN BRAVO DACANAY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144499336
- **Authorized official:** JOHN B DACANAY (OWNER)
- **Authorized official phone:** (928) 474-9744

## Contact information

- **Practice address:** 120 E MAIN ST, SUITE A, PAYSON, AZ 85541-5618
- **Practice address phone:** (928) 474-9744
- **Mailing address:** 120 E MAIN ST, SUITE A, PAYSON, AZ 85541-5618
- **Mailing address phone:** (928) 474-9744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 37784 | AZ | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 02/21/2008