David Iannicca, ATC | |
15946 N Bullard Ave, Surprise, AZ 85374-8844 | |
(816) 277-2954 | |
Not Available |
Full Name | David Iannicca |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
Location | 15946 N Bullard Ave, Surprise, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245455666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 0126000756 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
David Iannicca, ATC 920 Center Rd, Eastlake, OH 44095-2332 Ph: (440) 223-0569 | David Iannicca, ATC 15946 N Bullard Ave, Surprise, AZ 85374-8844 Ph: (816) 277-2954 |
Gavin Grosh, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 15946 N Bullard Ave, Surprise, AZ 85374 Phone: 816-382-5753 | |
Nicole M Lockwood, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14239 W Bell Rd Ste 104, Surprise, AZ 85374 Phone: 623-600-8333 | |
Dr. Wendi Joy Lundquist, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 15547 N Reems Rd Bldg A, Surprise, AZ 85374 Phone: 623-535-9777 Fax: 623-236-3179 |