Individual
THOMAS FALLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3900 E CAMELBACK RD STE 190, PHOENIX, AZ 85018-2657
(623) 516-8252
(623) 516-8253
Mailing address
5281 N 99TH AVE STE 100, GLENDALE, AZ 85305-2209
(623) 516-8252
(623) 516-8253
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
306400
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
AP10216
AZ
Other
Enumeration date
03/06/2013
Last updated
03/17/2018
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