Provider Demographics
NPI:1558851808
Name:DIMAGGIO, BRITTNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:
Last Name:DIMAGGIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5102 E CITRUS ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3608
Mailing Address - Country:US
Mailing Address - Phone:520-780-8016
Mailing Address - Fax:520-780-8016
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-7944
Practice Address - Fax:520-626-5652
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-12
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR76702208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics