Individual
JEAN A DELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2225 W PEORIA AVE STE 160, PHOENIX, AZ 85029-4938
(623) 299-2800
(623) 288-8598
Mailing address
2225 W PEORIA AVE STE 160, PHOENIX, AZ 85029-4938
(623) 299-2800
(623) 288-8598
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001190-P.A
PR
363AM0700X
Medical Physician Assistant
Primary
10073
AZ
363AM0700X
Medical Physician Assistant
ACN
FL
Other
Enumeration date
07/26/2023
Last updated
12/31/2025
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