Whalio Doctors

NPI 1003242447

Joseph Andrew Vitagliano, PAC

Practitioner Psychiatry Physician Phoenix, AZ

Practice location

Address
1110 E Missouri Ave STE 110, Phoenix, AZ 85014-2703
Phone
(480) 542-8202
Mailing address
4279 E Tether Trl, Phoenix, AZ 85050-8949

Registered specialties (2)

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 5483 (AZ)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 5483 (AZ)

Registry record

NPI
1003242447
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Sep 2013
Record last updated
7 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.