MS. Nicole C Fallacaro, PA

NPI #1174582290 in Gilbert, Arizona

Provider Information

NPI Number
1174582290
Entity Type
Individual
Name
MS. Nicole C Fallacaro, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Mar 18, 2006
Last Updated
Dec 28, 2011

Practice Location

Address
2730 S VAL VISTA DR
State
Arizona
ZIP Code
85295-1675
Phone
(480) 324-0300

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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