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NPI Code Detail

MEDICARE: BETH T SACHRISON MD

MEDICARE: BETH T SACHRISON 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 Physician24854AZ

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 : 1548256290
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH T SACHRISON MD
Provider Business Mailing Address
First Line : 1925 W ORANGE GROVE RD STE 302
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1152
Country : US
Telephone Number : 520-797-3888
Fax Number : 520-797-2196
Provider Business Practice Location Address
First Line : 1925 W ORANGE GROVE RD STE 302
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1152
Country : US
Telephone Number : 520-797-3888
Fax Number : 520-797-2196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/04/2024

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Directions to “ BETH T SACHRISON MD” Practice Location

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