MEDICARE: DR. ASHLEY DIPASQUALE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	69269	AZ

General Provider Information

NPI Number	:	1356127088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHLEY DIPASQUALE MD

Provider Business Mailing Address
First Line	:	8283 N HAYDEN RD STE 100
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-2456
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9250 N 3RD ST STE 2035
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-2407
Country	:	US
Telephone Number	:	602-942-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	09/07/2023

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Directions to “ DR. ASHLEY DIPASQUALE MD” Practice Location

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