Individual
ISAAC JOHN DALDALYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13416 N 32ND ST STE 109, PHOENIX, AZ 85032-6000
(323) 382-7871
Mailing address
13416 N 32ND ST STE 109, PHOENIX, AZ 85032-6000
(323) 382-7871
Taxonomy
Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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