MEDICARE: DR. SARAH ELIZABETH DUCHARME 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
1	208600000X	Surgery Physician	4301075656	MI
2	208600000X	Surgery Physician	44306	AZ

General Provider Information

NPI Number	:	1609853951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH ELIZABETH DUCHARME MD

Provider Business Mailing Address
First Line	:	PO BOX 43100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85733-3100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N EL DORADO PL STE E-520
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-4637
Country	:	US
Telephone Number	:	520-526-2325
Fax Number	:	520-526-2837

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	01/04/2021

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