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NPI Code Detail

MEDICARE: DR. DAMARIS PADILLA M.D.

MEDICARE: DR. DAMARIS PADILLA 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
1208000000XPediatrics Physician64558AZ

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 : 1346204443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAMARIS PADILLA M.D.
Provider Business Mailing Address
First Line : 2060 W 24TH ST
Second Line :
City : YUMA
State : AZ
Zip : 85364-6123
Country : US
Telephone Number : 928-819-8999
Fax Number : 928-726-3799
Provider Business Practice Location Address
First Line : 2060 W 24TH ST
Second Line :
City : YUMA
State : AZ
Zip : 85364-6123
Country : US
Telephone Number : 928-819-8999
Fax Number : 928-726-3799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 08/24/2023

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Directions to “ DR. DAMARIS PADILLA M.D.” Practice Location

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