MEDICARE: MR. ERNEST JAMES FOX PA

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	363A00000X	Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104809854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERNEST JAMES FOX PA

Provider Business Mailing Address
First Line	:	PO BOX 43160
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85733-3160
Country	:	US
Telephone Number	:	520-722-3777
Fax Number	:	520-296-6224

Provider Business Practice Location Address
First Line	:	5910 N LA CHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3535
Country	:	US
Telephone Number	:	520-297-0404
Fax Number	:	520-297-0436

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

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	09/17/2021

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