Individual
DR. MARIO PAOLO ZICCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 626-5582
Mailing address
3950 S COUNTRY CLUB RD STE 200, TUCSON, AZ 85714-2227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R76901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R76901
TRAINING NUMBER
AZ
Enumeration date
05/17/2018
Last updated
04/26/2024
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