Healthcare Provider Details

I. General information

NPI: 1386652444
Provider Name (Legal Business Name): JAMES F. DANCHO D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4629 S ALMOND ST
TUCSON AZ
85730-4619
US

IV. Provider business mailing address

4629 S ALMOND ST
TUCSON AZ
85730-4619
US

V. Phone/Fax

Practice location:
  • Phone: 520-886-6227
  • Fax:
Mailing address:
  • Phone: 520-886-6227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number131
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: