MEDICARE: ADUZ HEALTHCARE SERVICES, PC

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	261QU0200X	Urgent Care Clinic/Center
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1205080603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADUZ HEALTHCARE SERVICES, PC

Provider Business Mailing Address
First Line	:	1016 W PIERCE ST
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-4013
Country	:	US
Telephone Number	:	575-361-2610
Fax Number	:

Provider Business Practice Location Address
First Line	:	1016 W PIERCE ST
Second Line	:
City	:	CARLSBAD
State	:	NM
Zip	:	88220-4013
Country	:	US
Telephone Number	:	575-361-2610
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NII TETTEH TSURU ADDY
Credential	:	D.O
Telephone Number	:	575-361-2610

Provider Enumeration Date	:	11/11/2008
Last Update Date	:	11/11/2008

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