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NPI Code Detail

MEDICARE: MARILYN MEDWIED MD

MEDICARE: MARILYN MEDWIED 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
1207VG0400XGynecology Physician13321AZ

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 : 1841396827
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN MEDWIED MD
Provider Business Mailing Address
First Line : 655 E RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5840
Country : US
Telephone Number : 520-694-2700
Fax Number :
Provider Business Practice Location Address
First Line : 7901 E 22ND ST
Second Line :
City : TUCSON
State : AZ
Zip : 85710-8509
Country : US
Telephone Number : 520-694-8400
Fax Number : 520-684-8424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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Directions to “ MARILYN MEDWIED MD” Practice Location

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