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NPI Code Detail

MEDICARE: VALERIE A WOHL MD

MEDICARE:   VALERIE A WOHL  MD
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 Physician30707AZ

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 : 1053393298
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE A WOHL MD
Provider Business Mailing Address
First Line : 1852 N MASTICK WAY
Second Line :
City : NOGALES
State : AZ
Zip : 85621-1063
Country : US
Telephone Number : 520-281-1550
Fax Number : 520-281-1112
Provider Business Practice Location Address
First Line : 1852 N MASTICK WAY
Second Line :
City : NOGALES
State : AZ
Zip : 85621-1063
Country : US
Telephone Number : 520-281-1550
Fax Number : 520-281-1112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 11/27/2017

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Directions to “ VALERIE A WOHL MD” Practice Location

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