MEDICARE: DR. FERENC NAGY MD. CMD

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
1	174400000X	Specialist	11785	AZ
2	207Q00000X	Family Medicine Physician	11785	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912942848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERENC NAGY MD. CMD

Provider Business Mailing Address
First Line	:	3807 N 7TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-5005
Country	:	US
Telephone Number	:	602-258-6797
Fax Number	:	602-258-1134

Provider Business Practice Location Address
First Line	:	5940 E COPPER HILL DR STE E
Second Line	:
City	:	PRESCOTT VALLEY
State	:	AZ
Zip	:	86314-2860
Country	:	US
Telephone Number	:	928-237-1304
Fax Number	:	928-237-1396

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	09/27/2011

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