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NPI Code Detail

MEDICARE: LUIS ESPARZA MD

MEDICARE:   LUIS  ESPARZA  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
1207L00000XAnesthesiology Physician19757AZ

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 : 1629034194
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS ESPARZA MD
Provider Business Mailing Address
First Line : 330 E 13TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85701-2121
Country : US
Telephone Number : 520-909-0987
Fax Number :
Provider Business Practice Location Address
First Line : 330 E 13TH ST
Second Line :
City : TUCSON
State : AZ
Zip : 85701-2121
Country : US
Telephone Number : 520-909-0987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 10/23/2023

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Directions to “ LUIS ESPARZA MD” Practice Location

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