Individual
DR. DAVID A ETZIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A74878
MN
208C00000X
Colon & Rectal Surgery Physician
Primary
42832
AZ
208C00000X
Colon & Rectal Surgery Physician
A74878
CA
Other
Enumeration date
01/21/2007
Last updated
09/03/2020
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