Individual
JOSEPH MICHAEL GIANCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11130 N TATUM BLVD, #100, PHOENIX, AZ 85028-1662
(602) 494-1817
(602) 494-7103
Mailing address
11130 N TATUM BLVD, #100, PHOENIX, AZ 85028-1662
(602) 494-1817
(602) 494-7103
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21007
AZ
Other
Enumeration date
07/26/2006
Last updated
04/05/2016
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