Individual
DR. VINCENT J NICCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13634 N 93RD AVE, SUITE 300, PEORIA, AZ 85381-4915
(623) 815-2484
(623) 815-2483
Mailing address
13634 N 93RD AVE, SUITE 300, PEORIA, AZ 85381-4915
(623) 815-2484
(623) 815-2483
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
17098
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290883
—
AZ
Enumeration date
08/12/2005
Last updated
03/10/2014
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