Provider Demographics
NPI:1114119096
Name:DEL DEO, VITO (MD)
Entity Type:Individual
Prefix:
First Name:VITO
Middle Name:
Last Name:DEL DEO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36825 N. STARDUST LN
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-2413
Mailing Address - Country:US
Mailing Address - Phone:480-488-2419
Mailing Address - Fax:480-595-5964
Practice Address - Street 1:36825 N. STARDUST LN
Practice Address - Street 2:SUITE 2413
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85377-2413
Practice Address - Country:US
Practice Address - Phone:480-488-2419
Practice Address - Fax:480-595-5964
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ76342084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine