Healthcare Provider Details

I. General information

NPI: 1730482993
Provider Name (Legal Business Name): DANIEL JOSEPH ARMSTRONG PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2010
Last Update Date: 12/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 N 19TH AVE SUITE 121
PHOENIX AZ
85015-2951
US

IV. Provider business mailing address

3134 S MARKET ST #1116
GILBERT AZ
85295-1329
US

V. Phone/Fax

Practice location:
  • Phone: 602-433-1822
  • Fax: 602-246-7060
Mailing address:
  • Phone: 480-543-0413
  • Fax: 602-246-7060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4787
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: