Individual
MICHAEL ANTHONY DISALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
51 WEST 3RD STREET, SUITE 501, TEMPE, AZ 85281
(480) 317-6780
Mailing address
3145 E. SIESTA LANE, PHOENIX,, AZ 85050
(602) 795-4625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14834
AZ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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