Most Relevant Information
Provider Data
| NPI Number: | 1003279340 |
| Provider Name: | JOSEPH TARANTINO ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 0488 |
Most Important Dates
| Enumeration Date: | 04/04/2016 |
| Last Updated: | 04/04/2016 |
Provider Practice Location
8131 W PARADISE LN
PEORIA
AZ
853823826
Practice Location Phone/Fax
| Phone: | 6199970955 |
| Fax: |
Provider Mailing Location
9486 N 82ND GLN
PEORIA
AZ
853453128
Provider Mailing Phone/Fax
| Phone: | 6232669483 |
| Fax: |