Individual
NICHOLAS LEN SPARACINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1111 E MCDOWELL RD, INTERNAL MEDICINE LL2, PHOENIX, AZ 85006-2612
(602) 839-2296
(602) 839-2084
Mailing address
1111 E MCDOWELL RD, INTERNAL MEDICINE LL2, PHOENIX, AZ 85006-2612
(602) 839-2296
(602) 839-2084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R1806
AZ
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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