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NPI Code Detail

MEDICARE: ROXANA URSEA MD

MEDICARE: ROXANA URSEA 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
1207W00000XOphthalmology Physician32898AZ

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 : 1629142336
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANA URSEA MD
Provider Business Mailing Address
First Line : 6060 N FOUNTAIN PLAZA DR
Second Line : STE 250
City : TUCSON
State : AZ
Zip : 85704-7873
Country : US
Telephone Number : 520-877-4240
Fax Number : 520-877-4241
Provider Business Practice Location Address
First Line : 707 N ALVERNON WAY STE 301
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1848
Country : US
Telephone Number : 520-694-1460
Fax Number : 520-694-1464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 02/09/2016

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Directions to “ ROXANA URSEA MD” Practice Location

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