Individual
DR. TONI NICASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(480) 964-2273
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
011629
AZ
208000000X
Pediatrics Physician
5151015562
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2021
Last updated
07/22/2025
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