Individual
MR. SALVATORE J LIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2121 N CRAYCROFT RD BLDG 5, TUCSON, AZ 85712-2845
(520) 296-8500
Mailing address
2121 N CRAYCROFT RD BLDG 5, TUCSON, AZ 85712-2845
(520) 296-8500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7548
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167568
NCCPA
AZ
05
—
584017
—
AZ
01
—
7548
ARIZONA MEDICAL BOARD
AZ
Enumeration date
04/05/2019
Last updated
07/18/2024
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