Individual
JOHN PARNELL PASSAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 AINSWORTH DR, PRESCOTT, AZ 86301-1631
(928) 778-9770
Mailing address
7760 E STATE ROUTE 69, #C5-390, PRESCOTT VALLEY, AZ 86314-2201
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13724
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224345
—
AZ
Enumeration date
08/19/2006
Last updated
07/08/2007
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