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NPI Code Detail

MEDICARE: ROBERT ALLAN WASCHER MD

MEDICARE: ROBERT ALLAN WASCHER 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
12086X0206XSurgical Oncology PhysicianA47782CA
22086X0206XSurgical Oncology Physician25MA08122800NJ
32086X0206XSurgical Oncology Physician45166AZ

General Provider Information

NPI Number : 1215901897
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ALLAN WASCHER MD
Provider Business Mailing Address
First Line : 14200 W CELEBRATE LIFE WAY
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-3007
Country : US
Telephone Number : 623-207-3217
Fax Number : 623-207-3379
Provider Business Practice Location Address
First Line : 14200 W CELEBRATE LIFE WAY
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-3007
Country : US
Telephone Number : 623-207-3217
Fax Number : 623-207-3379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 04/14/2016

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