Most Relevant Information
Provider Data
| NPI Number: | 1003242447 |
| Provider Name: | JOSEPH ANDREW VITAGLIANO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 5483 |
Most Important Dates
| Enumeration Date: | 09/17/2013 |
| Last Updated: | 04/07/2022 |
Provider Practice Location
1110 E MISSOURI AVE STE 110
PHOENIX
AZ
850142703
Practice Location Phone/Fax
| Phone: | 4805428202 |
| Fax: |
Provider Mailing Location
4279 E TETHER TRL
PHOENIX
AZ
850508949
Provider Mailing Phone/Fax
| Phone: | 4802126408 |
| Fax: |
Suggested EMR
Psychiatry EMR