MEDICARE: RICHARD H DALEY, MD,PC

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	207X00000X	Orthopaedic Surgery Physician	4689	AZ

General Provider Information

NPI Number	:	1851696272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD H DALEY, MD,PC

Provider Business Mailing Address
First Line	:	6278 N 31ST WAY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-2327
Country	:	US
Telephone Number	:	602-955-6642
Fax Number	:

Provider Business Practice Location Address
First Line	:	6278 N 31ST WAY
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-2327
Country	:	US
Telephone Number	:	602-955-6642
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD HUGH DALEY
Credential	:	MD
Telephone Number	:	602-955-6642

Provider Enumeration Date	:	01/14/2011
Last Update Date	:	01/14/2011

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