Individual
DANIEL ANTHONY CALABRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1896 E. BABBIT LANE, SAN LUIS, AZ 85349-1669
(928) 722-6112
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
37902
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324722
—
AZ
01
—
Z156217
MEDICARE PTAN
AZ
Enumeration date
09/10/2007
Last updated
08/13/2024
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