Individual
JOHN TASSONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5620 W THUNDERBIRD RD, SUITE G-2, GLENDALE, AZ 85306-4636
(602) 938-6960
(602) 938-6069
Mailing address
5620 W THUNDERBIRD RD, SUITE F-1, GLENDALE, AZ 85306-4636
(602) 938-6960
(602) 938-6069
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0466
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389496
—
AZ
Enumeration date
09/19/2005
Last updated
07/08/2013
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