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NPI Code Detail

MEDICARE: DR. EDWARD ENRIQUE QUIROZ MD

MEDICARE:  DR. EDWARD ENRIQUE QUIROZ  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
1208000000XPediatrics Physician16323AZ

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 : 1528067089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD ENRIQUE QUIROZ MD
Provider Business Mailing Address
First Line : 809 E WASHINGTON ST
Second Line : SUITE 106
City : PHOENIX
State : AZ
Zip : 85034-1052
Country : US
Telephone Number : 602-340-1429
Fax Number : 602-340-1327
Provider Business Practice Location Address
First Line : 809 E WASHINGTON ST
Second Line : SUITE 106
City : PHOENIX
State : AZ
Zip : 85034-1052
Country : US
Telephone Number : 602-340-9455
Fax Number : 602-253-5359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 02/24/2009

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Directions to “ DR. EDWARD ENRIQUE QUIROZ MD” Practice Location

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