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NPI Code Detail

MEDICARE: DR. ELIZABETH SIMONEAU M.D.

MEDICARE: DR. ELIZABETH SIMONEAU M.D.
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 PhysicianAZ23693AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1688294OTHERAZAHCCS

General Provider Information

NPI Number : 1871562405
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH SIMONEAU M.D.
Provider Business Mailing Address
First Line : 6255 N CAMPO ABIERTO
Second Line : #2
City : TUCSON
State : AZ
Zip : 85718-3452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 329 W FRANKLIN ST
Second Line :
City : TUCSON
State : AZ
Zip : 85701-8207
Country : US
Telephone Number : 520-884-5249
Fax Number : 520-547-3395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 07/08/2007

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