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NPI Code Detail

MEDICARE: MARIANO FLORES HIS

MEDICARE: MARIANO FLORES HIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistHAD5458AZ

General Provider Information

NPI Number : 1003700030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANO FLORES HIS
Provider Business Mailing Address
First Line : 1010 E MCDOWELL RD STE 206
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2608
Country : US
Telephone Number : 602-956-1250
Fax Number : 602-956-7466
Provider Business Practice Location Address
First Line : 1010 E MCDOWELL RD STE 200
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2608
Country : US
Telephone Number : 602-956-1250
Fax Number : 602-956-7466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2025
Last Update Date : 06/04/2025

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