Individual
DR. ANDREW JOSEPH SASSACK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1521 E TANGERINE RD, SUITE 311, ORO VALLEY, AZ 85755-6225
(520) 326-1266
(520) 326-2575
Mailing address
PO BOX 2425, SKYLAND, NC 28776-2425
(828) 575-2644
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
49772
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z173338
MEDICARE PTAN
AZ
Enumeration date
04/14/2006
Last updated
11/16/2015
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