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NPI Code Detail

MEDICARE: MFP, LTD.

MEDICARE: MFP, LTD.
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
1261Q00000XClinic/CenterY02793AZ

General Provider Information

NPI Number : 1124213640
Entity Type Code : Organization
Provider Name (Legal Business Name) : MFP, LTD.
Provider Business Mailing Address
First Line : 6586 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85715-3801
Country : US
Telephone Number : 520-886-1035
Fax Number : 520-886-3548
Provider Business Practice Location Address
First Line : 6586 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85715-3801
Country : US
Telephone Number : 520-886-1035
Fax Number : 520-886-3548
Authorized Official
Title or Position : PRESIDENT
Name : MR. DAVID ANTHONY NICOLETTI
Credential : R.PH,CCN.,FIACP,FACA
Telephone Number : 520-886-1035
Provider Enumeration Date : 09/07/2007
Last Update Date : 09/07/2007

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Directions to “MFP, LTD. ” Practice Location

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