MEDICARE: WILLIAM NEVIN 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
1	207RP1001X	Pulmonary Disease Physician	6858	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1427055730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM NEVIN M.D.

Provider Business Mailing Address
First Line	:	1951 N WILMOT RD
Second Line	:	BLDG 4
City	:	TUCSON
State	:	AZ
Zip	:	85712-8000
Country	:	US
Telephone Number	:	520-318-4691
Fax Number	:	520-382-2999

Provider Business Practice Location Address
First Line	:	1951 N WILMOT RD
Second Line	:	BLDG 4
City	:	TUCSON
State	:	AZ
Zip	:	85712-8000
Country	:	US
Telephone Number	:	520-318-4691
Fax Number	:	520-382-2999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	12/11/2008

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Directions to “ WILLIAM NEVIN M.D.” Practice Location

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