Individual
DONALD CARL SCICCHITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
9897 W MCDOWELL RD STE 100, TOLLESON, AZ 85353-1622
(623) 474-2300
(623) 474-2306
Mailing address
9897 W MCDOWELL RD STE 100, TOLLESON, AZ 85353-1622
(623) 474-2300
(623) 474-2306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385553
—
AZ
Enumeration date
07/01/2009
Last updated
06/06/2019
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