| David J Sacco, MD | |
|
150 N Verde St, Suite 101, Flagstaff, AZ 86001-5256 | |
| (928) 779-0588 | |
| (928) 779-2358 |
| Full Name | David J Sacco |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 150 N Verde St, Flagstaff, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386656767 | NPI | - | NPPES |
| 762610 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 46901 (Arizona) | Primary |
| Entity Name | Dallas Pediatric Neurosurgery Specialists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609261551 PECOS PAC ID: 4082935119 Enrollment ID: O20150602000603 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Sacco, MD 150 N Verde St, Suite 101, Flagstaff, AZ 86001-5256 Ph: (928) 779-0588 | David J Sacco, MD 150 N Verde St, Suite 101, Flagstaff, AZ 86001-5256 Ph: (928) 779-0588 |
Dr. Ali I Raja, MD, MSC Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-779-3366 | |
Stephen L Ritland, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 | |
Mr. Bradley Robert Nicol, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 823 N San Francisco St, Suite F, Flagstaff, AZ 86001 Phone: 928-226-7667 Fax: 928-226-7664 |