Provider Demographics
NPI:1811229404
Name:ARMANI, MARIO VINCENZO (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIO
Middle Name:VINCENZO
Last Name:ARMANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:MARIO
Other - Middle Name:
Other - Last Name:ARMANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:58 E LA VIEVE LN
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3132
Mailing Address - Country:US
Mailing Address - Phone:480-818-9053
Mailing Address - Fax:
Practice Address - Street 1:312 W 10TH ST STE 2
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-3940
Practice Address - Country:US
Practice Address - Phone:520-222-7385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor