Individual
DR. BRIAN J DELISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4838 E BASELINE RD STE 108, MESA, AZ 85206
(480) 981-2400
Mailing address
4838 E BASELINE RD STE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33634
AZ
207LA0401X
Addiction Medicine (Anesthesiology) Physician
33634
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945131
—
AZ
01
—
P00402237
RAILROAD MEDICARE
AZ
Enumeration date
06/27/2006
Last updated
05/23/2018
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