MEDICARE: ANDREW M EPSTEIN DO LTD

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	208D00000X	General Practice Physician	006454	AZ

General Provider Information

NPI Number	:	1558752337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW M EPSTEIN DO LTD

Provider Business Mailing Address
First Line	:	2375 N WYATT DR
Second Line	:	SUITE 107
City	:	TUCSON
State	:	AZ
Zip	:	85712-2152
Country	:	US
Telephone Number	:	520-881-8945
Fax Number	:

Provider Business Practice Location Address
First Line	:	2375 N WYATT DR
Second Line	:	SUITE 107
City	:	TUCSON
State	:	AZ
Zip	:	85712-2152
Country	:	US
Telephone Number	:	520-881-8945
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ANDREW MICHAEL EPSTEIN
Credential	:	D.O.
Telephone Number	:	520-881-8945

Provider Enumeration Date	:	02/14/2015
Last Update Date	:	02/15/2015

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