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NPI Code Detail

MEDICARE: SUELYN D HALL-HARPER MD

MEDICARE: SUELYN D HALL-HARPER MD
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
1208800000XUrology Physician04-26892KS

General Provider Information

NPI Number : 1104816800
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUELYN D HALL-HARPER MD
Provider Business Mailing Address
First Line : 14259 N HIDDEN ENCLAVE PL
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-5783
Country : US
Telephone Number : 785-317-1349
Fax Number :
Provider Business Practice Location Address
First Line : 1625 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85719-4330
Country : US
Telephone Number : 520-694-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 08/25/2020

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