JOHN BRAVO DACANAY MD PC
Medical Practice at Main St, Payson, AZ

License number
Arizona 37784
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: JOHN B DACANAY
Title: OWNER
Phone: (928) 474-9744
Address
Address
120 E Main St SUITE A, Payson, AZ 85541
National Provider ID: 1144499336
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JOHN BRAVO DACANAY MD PC at bizstanding.com

JOHN BRAVO DACANAY MD, PC

Payson, AZ

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Ad-dissolved-file annual report
Registration:
Nov 26, 2007
Inactive since:
Jul 8, 2009
Addresses:
608 N Ponerosa Cir #3, Payson, AZ 85541 (Physical)
120 E Main St, Payson, AZ 85541
State ID:
-1409378-0
Expiration:
PERPETUAL
Office Managers:
John Bravo Dacanay Other officer, Medical Doctor, Owner, inactive, 714 N Foxhill Dr, Payson, AZ 85541 (Physical),Marietta Schmid Office Manager, inactive
Agent:
Valerie Lubken,708 E Hwy 260 BLDG C1 STE D, Payson, AZ 85547 (Physical)

Medical Practice licenses in Arizona










Other Doctors licenses in Arizona