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NPI Code Detail

MEDICARE: RENEE DIANE ESPINOSA MD

MEDICARE:   RENEE DIANE ESPINOSA  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
1207RC0000XCardiovascular Disease Physician32798AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2AZ0444980OTHERAZBCBS
37877619OTHERAZAETNA
42Z4287OTHERAZHEALTHNET

General Provider Information

NPI Number : 1669466553
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE DIANE ESPINOSA MD
Provider Business Mailing Address
First Line : 3805 E BELL RD STE 3100
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2136
Country : US
Telephone Number : 602-494-3656
Fax Number : 602-867-3862
Provider Business Practice Location Address
First Line : 3805 E BELL RD
Second Line : SUITE 3100
City : PHOENIX
State : AZ
Zip : 85032-2105
Country : US
Telephone Number : 602-867-8644
Fax Number : 602-795-5698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 06/29/2022

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Directions to “ RENEE DIANE ESPINOSA MD” Practice Location

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