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Individual

BARBARA DALMAZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(605) 569-3999
(602) 569-3999
Mailing address
1533 E. WILLETTA ST., PHOENIX, AZ 85006
(602) 569-3999

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5961
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5961
ARIZONA MEDICAL BOARD
AZ
Enumeration date
12/17/2014
Last updated
08/23/2019
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