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NPI Code Detail

MEDICARE: JESUS CARLOS MACIAS MD

MEDICARE: JESUS CARLOS MACIAS 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
12080P0202XPediatric Cardiology Physician24509AZ

General Provider Information

NPI Number : 1326099615
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESUS CARLOS MACIAS MD
Provider Business Mailing Address
First Line : 3200 E CAMELBACK RD STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-2327
Country : US
Telephone Number : 602-933-1814
Fax Number :
Provider Business Practice Location Address
First Line : 5983 E GRANT RD STE 117
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2366
Country : US
Telephone Number : 520-320-7999
Fax Number : 520-320-9211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 03/23/2018

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Directions to “ JESUS CARLOS MACIAS MD” Practice Location

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