Pico, Tristan

Pico, Tristan is an individual health care provider with primary practice located at 725 S Dobson Rd Ste 100, Chandler AZ 85224-5680. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Pico, Tristan can be contacted via phone (602) 795-8700.

Contact Information

Primary practice address
725 S Dobson Rd Ste 100 Chandler AZ 85224-5680
Phone: (602) 795-8700
Fax: (602) 795-8701
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X DR.0066661 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 42864 Arizona

Profile Details

NPI number 1508088196
LBN Legal business name Pico, Tristan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jun 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508088196 NPPES
Arizona MEDICAID 514699

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