Dattilo, Phillip John
Dattilo, Phillip John is an individual health care provider with primary practice located at 1404 East Prince Road Tucson Cardiology Ltd, Tucson AZ 85719. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dattilo, Phillip John can be contacted via phone (520) 327-7494.Contact Information
Primary practice address
1404 East Prince Road Tucson Cardiology Ltd
Tucson AZ 85719
Phone: (520) 327-7494
Fax: (520) 327-7493
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 241 | Arizona |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 241 | Arizona |
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 13 | Arizona |
Profile Details
NPI number | 1861545048 |
---|---|
LBN Legal business name | Dattilo, Phillip John |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2007 |
Last updated | Aug 17th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861545048 | NPPES |
Arizona | MEDICAID | 228420 |
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