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NPI Code Detail

MEDICARE: DR. ROBERT MICHAEL KANOCZ OD

MEDICARE:  DR. ROBERT MICHAEL KANOCZ  OD
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
1152W00000XOptometrist526AZ

General Provider Information

NPI Number : 1790783611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT MICHAEL KANOCZ OD
Provider Business Mailing Address
First Line : 6446 E TRAILRIDGE CIR
Second Line :
City : MESA
State : AZ
Zip : 85215-0810
Country : US
Telephone Number : 602-418-3585
Fax Number :
Provider Business Practice Location Address
First Line : 10001 W BELL RD
Second Line : SUITE 115
City : SUN CITY
State : AZ
Zip : 85351-1282
Country : US
Telephone Number : 623-583-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT MICHAEL KANOCZ OD” Practice Location

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