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NPI Code Detail

MEDICARE: DR. JAMES PICHE M.D.

MEDICARE:  DR. JAMES  PICHE  M.D.
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
1207P00000XEmergency Medicine PhysicianG60730CA
2207PH0002XHospice and Palliative Medicine (Emergency Medicine) Physician64802AZ
3207PH0002XHospice and Palliative Medicine (Emergency Medicine) PhysicianG60730CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200G607300OTHERBS OF CA
3G60730OTHERBC OF CA

General Provider Information

NPI Number : 1396786976
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES PICHE M.D.
Provider Business Mailing Address
First Line : 1510 E FLOWER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5698
Country : US
Telephone Number : 602-636-5317
Fax Number :
Provider Business Practice Location Address
First Line : 1510 E FLOWER ST BLDG 2
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5698
Country : US
Telephone Number : 602-287-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 01/21/2022

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Directions to “ DR. JAMES PICHE M.D.” Practice Location

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