Individual
DANIEL S KRCELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7165 E UNIVERSITY DR STE 183, MESA, AZ 85207-6415
(480) 668-5000
(480) 668-5065
Mailing address
7165 E UNIVERSITY DR STE 187, MESA, AZ 85207-6415
(480) 668-5000
(480) 428-8593
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
59339
TN
2086S0129X
Vascular Surgery Physician
Primary
66443
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125341
—
AZ
Enumeration date
06/11/2012
Last updated
06/21/2022
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