Organization
JOEL P. MASCARO, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL P MASCARO D.O. (PRESIDENT)
(602) 431-1152
Entity
Organization
Contact information
Practice address
9449 N 90TH ST, SUITE 114, SCOTTSDALE, AZ 85258-5099
(480) 214-3313
Mailing address
11681 E BELLA VISTA DR, SCOTTSDALE, AZ 85259-6360
(602) 431-1152
(602) 431-2149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3250
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3250
STATE LICENSURE
AZ
Enumeration date
03/25/2008
Last updated
10/26/2016
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