Provider Demographics
NPI:1790873198
Name:IORIO, FRANK (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:IORIO
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:PO BOX 10940
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86304-0940
Mailing Address - Country:US
Mailing Address - Phone:928-776-8212
Mailing Address - Fax:928-776-8234
Practice Address - Street 1:3101 CLEARWATER DR
Practice Address - Street 2:#D
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-7180
Practice Address - Country:US
Practice Address - Phone:928-776-8212
Practice Address - Fax:928-776-8234
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12233208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ22573101Medicaid
AZZWDCGB01Medicare PIN
C99687Medicare UPIN