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NPI Code Detail

MEDICARE: RHONDA L. NIETO M.D.

MEDICARE: RHONDA L. NIETO M.D.
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
1207L00000XAnesthesiology Physician23290AZ

General Provider Information

NPI Number : 1093711624
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA L. NIETO M.D.
Provider Business Mailing Address
First Line : 12995 N ORACLE RD
Second Line : STE 141, #411
City : TUCSON
State : AZ
Zip : 85739
Country : US
Telephone Number : 866-568-9990
Fax Number :
Provider Business Practice Location Address
First Line : 6200 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3529
Country : US
Telephone Number : 602-273-6770
Fax Number : 602-889-0489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 02/10/2017

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Directions to “ RHONDA L. NIETO M.D.” Practice Location

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