Individual
PHILLIP JOHN DATTILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1404 EAST PRINCE ROAD, TUCSON CARDIOLOGY LTD, TUCSON, AZ 85719
(520) 327-7494
(520) 327-7493
Mailing address
1404 EAST PRINCE ROAD, TUCSON CARDIOLOGY LTD, TUCSON, AZ 85719
(520) 327-7494
(520) 327-7493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
241
AZ
207RC0000X
Cardiovascular Disease Physician
241
AZ
207U00000X
Nuclear Medicine Physician
13
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228420
—
AZ
Enumeration date
01/19/2007
Last updated
08/17/2011
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