MEDICARE: DANIEL DUNN STRICOF 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	2085N0700X	Neuroradiology Physician	17966	AZ
2	2085R0202X	Diagnostic Radiology Physician	17966	AZ
3	2085D0003X	Diagnostic Neuroimaging (Radiology) Physician	17966	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	300024061	OTHER	AZ	MEDICARE RAILROAD
6	CS7943	OTHER	AZ	GROUP MEDICARE RAILROAD ID & PTAN
7	ZWCBBM	OTHER	AZ	GROUP MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1235100405	OTHER	AZ	PHYSICIAN INDIVIDUAL NPI
4	1841261989	OTHER	AZ	GROUP NPI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235100405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL DUNN STRICOF MD

Provider Business Mailing Address
First Line	:	5441 N VIA FRASSINO
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750-5979
Country	:	US
Telephone Number	:	520-289-6886
Fax Number	:

Provider Business Practice Location Address
First Line	:	5441 N VIA FRASSINO
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85750-5979
Country	:	US
Telephone Number	:	520-289-6886
Fax Number	:

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	01/08/2015

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Directions to “ DANIEL DUNN STRICOF MD” Practice Location

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