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NPI Code Detail

MEDICARE: MAMMOGRAPHY USA

MEDICARE: MAMMOGRAPHY USA
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
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1093398885
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAMMOGRAPHY USA
Provider Business Mailing Address
First Line : 11640 E BLOOMFIELD DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-2749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11640 E BLOOMFIELD DR
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-2749
Country : US
Telephone Number : 855-505-0003
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KEVIN A KEARNEY
Credential : MD
Telephone Number : 734-377-7790
Provider Enumeration Date : 04/30/2021
Last Update Date : 04/30/2021

Similar Medicare Providers

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1912604224 — GIANNA DIONE RUGGEROLI CRNA
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Directions to “MAMMOGRAPHY USA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.