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NPI Code Detail

MEDICARE: EZRA DAVID

MEDICARE: EZRA DAVID
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
1225100000XPhysical TherapistLPT-034798AZ

General Provider Information

NPI Number : 1124950316
Entity Type Code : Individual
Provider Name (Legal Business Name) : EZRA DAVID
Provider Business Mailing Address
First Line : 321 N FREMONT AVE APT 206
Second Line :
City : TUCSON
State : AZ
Zip : 85719-5462
Country : US
Telephone Number : 413-923-4060
Fax Number :
Provider Business Practice Location Address
First Line : 355 N WILMOT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-2601
Country : US
Telephone Number : 520-540-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ EZRA DAVID ” Practice Location

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