Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 16985 | AZ |
NPI | 1013087600 |
---|---|
Provider Name | Dr. John Paul Graziano |
First Address | Tucson, AZ 85712-6118 |
Second Address | Tucson, AZ 85712-6118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 26/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
285785 | (05) | AZ |
D36946 | (02) | AZ |