Provider Demographics
NPI:1538238373
Name:IORIO, SUSAN IL (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:IL
Last Name:IORIO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14725 W MOUNTAIN VIEW BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-2704
Mailing Address - Country:US
Mailing Address - Phone:623-243-9077
Mailing Address - Fax:623-544-8665
Practice Address - Street 1:14725 W MOUNTAIN VIEW BLVD STE 103
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2704
Practice Address - Country:US
Practice Address - Phone:623-243-9077
Practice Address - Fax:623-544-8665
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ34868207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH57087Medicare UPIN