MEDICARE: TRUE PATRIOT CONSULTING, INC.

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1003399650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE PATRIOT CONSULTING, INC.

Provider Business Mailing Address
First Line	:	1134 E UNIVERSITY DR STE 111
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-8048
Country	:	US
Telephone Number	:	480-398-1220
Fax Number	:	480-398-1238

Provider Business Practice Location Address
First Line	:	1134 E UNIVERSITY DR STE 111
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-8048
Country	:	US
Telephone Number	:	480-398-1220
Fax Number	:	480-398-1238

Authorized Official
Title or Position	:	CEO
Name	:	PAUL BABEU
Credential	:
Telephone Number	:	480-398-1220

Provider Enumeration Date	:	09/10/2018
Last Update Date	:	09/10/2018

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Directions to “TRUE PATRIOT CONSULTING, INC. ” Practice Location

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