MEDICARE: DR. JAMES DANIEL STYRE DVM

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	174M00000X	Veterinarian	3148	AZ

General Provider Information

NPI Number	:	1306198437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES DANIEL STYRE DVM

Provider Business Mailing Address
First Line	:	3209 W SALTER DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-2200
Country	:	US
Telephone Number	:	602-578-5296
Fax Number	:

Provider Business Practice Location Address
First Line	:	10825 N TATUM BLVD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-3055
Country	:	US
Telephone Number	:	480-609-9695
Fax Number	:

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

Provider Enumeration Date	:	10/13/2012
Last Update Date	:	10/13/2012

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