Individual
DON C BERESINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 747-4577
Mailing address
7600 N 65TH ST, PARADISE VALLEY, AZ 85253-3102
(480) 991-1158
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12734
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240052
—
AZ
Enumeration date
04/25/2006
Last updated
07/08/2007
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