MEDICARE: MS. MINDI L ROTHANS CDC-S, CPC

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	246YC3302X	Physician Office Based Coding Specialist	00069437	CA

General Provider Information

NPI Number	:	1073504429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MINDI L ROTHANS CDC-S, CPC

Provider Business Mailing Address
First Line	:	PO BOX 74097
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85087-4097
Country	:	US
Telephone Number	:	800-300-0239
Fax Number	:

Provider Business Practice Location Address
First Line	:	3434 W ANTHEM WAY
Second Line	:	SUITE 118-280
City	:	PHOENIX
State	:	AZ
Zip	:	85086-0000
Country	:	US
Telephone Number	:	800-300-0239
Fax Number	:

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	07/26/2010

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