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NPI Code Detail

MEDICARE: SAMUEL M MAGAZU MD

MEDICARE: SAMUEL M MAGAZU 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
1207R00000XInternal Medicine Physician21012AZ

Other Identifiers

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

General Provider Information

NPI Number : 1184604589
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL M MAGAZU MD
Provider Business Mailing Address
First Line : 25500 N. NORTERRA PARKWAY
Second Line : BLDG. B
City : PHOENIX
State : AZ
Zip : 85085
Country : US
Telephone Number : 623-277-1000
Fax Number : 602-371-2002
Provider Business Practice Location Address
First Line : 13041 N DEL WEBB BLVD
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3034
Country : US
Telephone Number : 623-977-7201
Fax Number : 623-876-2820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 01/29/2014

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