MEDICARE: CERTIFIED MEDICAL BILLING AND CODING

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	207RC0001X	Clinical Cardiac Electrophysiology Physician

General Provider Information

NPI Number	:	1316575699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CERTIFIED MEDICAL BILLING AND CODING

Provider Business Mailing Address
First Line	:	4222 N 62ND PL
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-3008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 S IRONWOOD DR STE 102
Second Line	:
City	:	APACHE JUNCTION
State	:	AZ
Zip	:	85120-6242
Country	:	US
Telephone Number	:	480-604-2224
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANDREW J NASH
Credential	:
Telephone Number	:	888-743-4233

Provider Enumeration Date	:	03/31/2020
Last Update Date	:	03/31/2020

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Directions to “CERTIFIED MEDICAL BILLING AND CODING ” Practice Location

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