IndividualActive
Ambrose Panico, D.O.
NPI 1245539659 · Clinical Cardiac Electrophysiology Physician · Mesa, AZ
Provider details
- NPI number
- 1245539659
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 008452 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6309 E Baywood Ave Ste 101
Mesa, AZ 85206-1726
Phone: (480) 641-5400
Fax: (480) 218-4353
Approximate (ZIP-level) locationGet directions
Mailing address
6309 E Baywood Ave Ste 101
Mesa, AZ 85206-1726
Registry dates
- Enumerated
- 2011-03-24
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.