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NPI Code Detail

MEDICARE: DR. JAMES FREDERICK CAHILL JR. M.D.

MEDICARE: DR. JAMES FREDERICK CAHILL JR. 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
12084P0800XPsychiatry Physician22291AZ

General Provider Information

NPI Number : 1174575013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES FREDERICK CAHILL JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 10880
Second Line :
City : PRESCOTT
State : AZ
Zip : 86304-0880
Country : US
Telephone Number : 602-406-4786
Fax Number : 916-636-4358
Provider Business Practice Location Address
First Line : 1050 GAIL GARDNER WAY
Second Line : STE 300
City : PRESCOTT
State : AZ
Zip : 86305-1640
Country : US
Telephone Number : 928-717-5240
Fax Number : 928-717-5238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 02/10/2025

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