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NPI Code Detail

MEDICARE: DR. RODERICK JA-DAVID, MICHAEL FLOWERS DO

MEDICARE:  DR. RODERICK JA-DAVID, MICHAEL FLOWERS  DO
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
1207Q00000XFamily Medicine Physician2642AZ

General Provider Information

NPI Number : 1033264486
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODERICK JA-DAVID, MICHAEL FLOWERS DO
Provider Business Mailing Address
First Line : 7395 SOUTH HOUGHTON RD
Second Line : STE 129 SOUTHERN ARIZONA VA HEALTH CARE SYSTEMS SE CBOC
City : TUCSON
State : AZ
Zip : 85747-3305
Country : US
Telephone Number : 520-664-1831
Fax Number : 520-664-1842
Provider Business Practice Location Address
First Line : 7395 SOUTH HOUGHTON ROAD, SUITE 129
Second Line : SOUTHERN ARIZONA VA HEALTH CARE SYSTEMS, SE CBOC
City : TUCSON
State : AZ
Zip : 85747-3305
Country : US
Telephone Number : 520-664-1831
Fax Number : 520-664-1842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 10/09/2009

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Directions to “ DR. RODERICK JA-DAVID, MICHAEL FLOWERS DO” Practice Location

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