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NPI Code Detail

MEDICARE: ELAINE MARY ACCOMANDO PA

MEDICARE: ELAINE MARY ACCOMANDO PA
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 Assistant2840AZ

General Provider Information

NPI Number : 1033189444
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE MARY ACCOMANDO PA
Provider Business Mailing Address
First Line : PO BOX 3630
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86003-3630
Country : US
Telephone Number : 928-213-6121
Fax Number :
Provider Business Practice Location Address
First Line : 340 S WILLARD ST
Second Line :
City : COTTONWOOD
State : AZ
Zip : 86326-4126
Country : US
Telephone Number : 928-639-6025
Fax Number : 928-639-6541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 08/22/2022

Similar Medicare Providers

1821252925 — DR. ADAM SCHNEIDER MD
Practice Location Address:
340 S WILLARD ST
COTTONWOOD, AZ
86326-4126
Practice Phone: 928-639-7960
Practice Fax:
1528065919 — DR. DAVID G VAN DE WYNGAERDE MD
Practice Location Address:
340 S WILLARD ST
COTTONWOOD, AZ
86326-4126
Practice Phone: 928-639-7960
Practice Fax:
1871591503 — DR. ALEXANDER ZILBERMAN M.D.
Practice Location Address:
340 S WILLARD ST
COTTONWOOD, AZ
86326-4126
Practice Phone: 928-639-6025
Practice Fax: 928-649-7921
1699776823 — DR. STEVEN J KURZWEIL M.D.
Practice Location Address:
340 S WILLARD ST
COTTONWOOD, AZ
86326-4126
Practice Phone: 928-639-6025
Practice Fax: 928-649-7971
1306839840 — ELLEN ELIZABETH CLAXTON MD
Practice Location Address:
340 S WILLARD ST STE 101
COTTONWOOD, AZ
86326-4126
Practice Phone: 928-634-2015
Practice Fax:
1528040482 — MR. DANIEL G DUDZIAK RPAC
Practice Location Address:
340 S WILLARD ST
COTTONWOOD, AZ
86326-4126
Practice Phone: 992-639-6025
Practice Fax: 928-634-1117

Directions to “ ELAINE MARY ACCOMANDO PA” Practice Location

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