Provider Demographics
NPI:1851264360
Name:BRICIU, IOAN DANIEL
Entity type:Individual
Prefix:MR
First Name:IOAN DANIEL
Middle Name:
Last Name:BRICIU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 W TARO LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-5456
Mailing Address - Country:US
Mailing Address - Phone:602-999-7543
Mailing Address - Fax:
Practice Address - Street 1:1309 W TARO LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-5456
Practice Address - Country:US
Practice Address - Phone:602-999-7543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle