MR. Antonio M Licata, D.O.

NPI #1033197694 in Dayton, Ohio

Provider Information

NPI Number: 1033197694
Entity Type: Individual
Name: MR. Antonio M Licata, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: D.O.
Enumeration Date: Jan 4, 2006
Last Updated: Dec 2, 2010

Practice Location

Address: 1 WYOMING ST
Address 2: 3 FL / ANES. DEPT
City: Dayton
State: Ohio
ZIP Code: 45409
Phone: (937) 208-4380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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