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NPI Code Detail

MEDICARE: RAMONITO HUEVOS PANAL MD

MEDICARE: RAMONITO HUEVOS PANAL 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
1207R00000XInternal Medicine Physician29983AZ

General Provider Information

NPI Number : 1093772790
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMONITO HUEVOS PANAL MD
Provider Business Mailing Address
First Line : 3543 W 13TH ST
Second Line :
City : YUMA
State : AZ
Zip : 85364-9110
Country : US
Telephone Number : 928-782-0454
Fax Number :
Provider Business Practice Location Address
First Line : 2555 E GILA RIDGE RD
Second Line :
City : YUMA
State : AZ
Zip : 85365-2240
Country : US
Telephone Number : 928-317-3371
Fax Number : 928-317-3380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 07/08/2007

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Directions to “ RAMONITO HUEVOS PANAL MD” Practice Location

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