MEDICARE: SAGUARO EMERGENCY PHYSICIANS

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	207P00000X	Emergency Medicine Physician

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
2	AZ0445640	OTHER	AZ	BLUE SHIELD

General Provider Information

NPI Number	:	1548271570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAGUARO EMERGENCY PHYSICIANS

Provider Business Mailing Address
First Line	:	815 S PALAFOX ST
Second Line	:	3RD FLR
City	:	PENSACOLA
State	:	FL
Zip	:	32502-5937
Country	:	US
Telephone Number	:	800-444-7009
Fax Number	:	800-305-3233

Provider Business Practice Location Address
First Line	:	4888 N STONE AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-5749
Country	:	US
Telephone Number	:	520-696-2391
Fax Number	:	520-696-2689

Authorized Official
Title or Position	:	EXEC VP EMCARE PHYSICIAN PROVIDERS
Name	:	JAMES L MURPHY
Credential	:
Telephone Number	:	800-444-7009

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	04/20/2008

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