David Iannicca is a Sports Medicine in Surprise, Arizona. David Iannicca practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for David Iannicca is 1245455666. The last update date is 2007-07-08.
David Iannicca's current location address is 15946 N Bullard Ave, Surprise, Arizona. You can contact this provider via phone number 8162772954. The mailing address for David Iannicca is 15946 N Bullard Ave, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Iannicca |
|---|---|
| Address | 15946 N Bullard Ave, Surprise, Arizona |
| Phone Number | 8162772954 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1245455666 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15946 N Bullard Ave |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853748844 |
| Phone Number | 8162772954 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | 126000756 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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What is the unique 10-digit identifier code issued to David Iannicca by the Centers for Medicare & Medicaid Services?
The David Iannicca has been assigned the NPI (National Provider Identifier) 1245455666 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the David Iannicca's physical address?
The David Iannicca is physically located at 15946 N Bullard Ave, in the city of Surprise, AZ, with the postal code 853748844.
What is the area of specialization for David Iannicca, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Iannicca is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2081S0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245455666 to David Iannicca?
The Centers for Medicare & Medicaid Services assigned the 1245455666 to David Iannicca on 2007-04-13.
As of what date were the details pertaining to David Iannicca last refreshed?
The information related to the David Iannicca, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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