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NPI Code Detail

MEDICARE: MR. VICTOR AIRE-OAIHIMIRE PA-C

MEDICARE: MR. VICTOR AIRE-OAIHIMIRE PA-C
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
1363AM0700XMedical Physician Assistant3735AZ

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 : 1912158551
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VICTOR AIRE-OAIHIMIRE PA-C
Provider Business Mailing Address
First Line : 3306 W ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-3404
Country : US
Telephone Number : 602-889-9401
Fax Number : 602-889-9404
Provider Business Practice Location Address
First Line : 3306 W ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85009-3404
Country : US
Telephone Number : 602-278-4930
Fax Number : 602-269-7772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 03/23/2022

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