Organization
ITANO AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ITANO DO (OWNER AND PROVIDER)
(714) 458-8875
Entity
Organization
Contact information
Practice address
1081 KATHLEEN AVE, KINGMAN, AZ 86401-3918
(928) 753-5580
Mailing address
1550 W HORIZON RIDGE PKWY STE PMB 35, HENDERSON, NV 89012-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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