NPI 1104350065

Dario Mazon

Practitioner Contractor Maricopa, AZ

Practice location

Address: 41277 W Laramie Rd, Maricopa, AZ 85138-3775
Phone: (480) 330-5711
Mailing address: 994 S Harrison Rd, Tucson, AZ 85748-6608

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 7795376 (AZ)

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Registry record

NPI: 1104350065
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2017
Record last updated: 18 Apr 2017

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.