Krcelic, Daniel S

Krcelic, Daniel S is an individual health care provider with primary practice located at 7165 E University Dr Ste 183 , Mesa AZ 85207-6415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Krcelic, Daniel S can be contacted via phone (480) 668-5000.

Contact Information

Primary practice address
7165 E University Dr Ste 183 Mesa AZ 85207-6415
Phone: (480) 668-5000
Fax: (480) 668-5065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 59339 Tennessee
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 66443 Arizona

Profile Details

NPI number 1114289774
LBN Legal business name Krcelic, Daniel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Jun 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114289774 NPPES
Arizona MEDICAID 125341

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