MEDICARE: JAMES S HAWKINS 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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	31965	AZ
2	207X00000X	Orthopaedic Surgery Physician	31965	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134100407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES S HAWKINS MD

Provider Business Mailing Address
First Line	:	PO BOX 80217
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85060-0217
Country	:	US
Telephone Number	:	602-385-2115
Fax Number	:	480-418-3323

Provider Business Practice Location Address
First Line	:	10450 W MCDOWELL RD STE 102
Second Line	:
City	:	AVONDALE
State	:	AZ
Zip	:	85392-4901
Country	:	US
Telephone Number	:	602-648-5444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	06/02/2022

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Directions to “ JAMES S HAWKINS MD” Practice Location

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