Individual
DR. AMBROSE FRANCIS PANICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6309 E BAYWOOD AVE STE 101, MESA, AZ 85206-1726
(480) 641-5400
(480) 218-4353
Mailing address
6309 E BAYWOOD AVE STE 101, MESA, AZ 85206-1726
(480) 641-5400
(480) 218-4353
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
008452
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
008452
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007236
—
AZ
Enumeration date
03/24/2011
Last updated
06/25/2025
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