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NPI Code Detail

MEDICARE: MR. RICHARD ALLEN UNGER JR. FNP

MEDICARE: MR. RICHARD ALLEN UNGER JR. FNP
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
1363LP2300XPrimary Care Nurse PractitionerAP4931AZ

General Provider Information

NPI Number : 1366784084
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD ALLEN UNGER JR. FNP
Provider Business Mailing Address
First Line : 10000 S WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85756-8699
Country : US
Telephone Number : 520-574-0024
Fax Number :
Provider Business Practice Location Address
First Line : 10000 S WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85756-8699
Country : US
Telephone Number : 520-574-0024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2013
Last Update Date : 03/20/2013

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