MEDICARE: ERNESTO F FIGUEROA M.D.

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
1	2084P0800X	Psychiatry Physician	73933	AZ

General Provider Information

NPI Number	:	1003910613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNESTO F FIGUEROA M.D.

Provider Business Mailing Address
First Line	:	2187 N VICKEY ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-6121
Country	:	US
Telephone Number	:	928-527-8199
Fax Number	:	928-527-0028

Provider Business Practice Location Address
First Line	:	2187 N VICKEY ST
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-6121
Country	:	US
Telephone Number	:	928-527-1899
Fax Number	:	928-527-0028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	08/05/2024

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Directions to “ ERNESTO F FIGUEROA M.D.” Practice Location

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