MEDICARE: SEANA K DALY 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	207Q00000X	Family Medicine Physician	49830	AZ
2	207Q00000X	Family Medicine Physician	M5347	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

General Provider Information

NPI Number	:	1558301929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEANA K DALY MD

Provider Business Mailing Address
First Line	:	63701 E SADDLEBROOKE BLVD STE F
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85739-1273
Country	:	US
Telephone Number	:	208-571-3172
Fax Number	:

Provider Business Practice Location Address
First Line	:	63701 E SADDLEBROOKE BLVD STE F
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85739-1273
Country	:	US
Telephone Number	:	520-818-0300
Fax Number	:	520-818-2508

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	11/28/2022

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Directions to “ SEANA K DALY MD” Practice Location

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