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NPI Code Detail

MEDICARE: RICHARD M ERNST M.D.

MEDICARE: RICHARD M ERNST 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
1207Q00000XFamily Medicine Physician30818AZ
2208M00000XHospitalist Physician30818AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417944802
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD M ERNST M.D.
Provider Business Mailing Address
First Line : 9590 E IRONWOOD SQUARE DR
Second Line : STE 125
City : SCOTTSDALE
State : AZ
Zip : 85258-4583
Country : US
Telephone Number : 480-455-3000
Fax Number : 866-819-6115
Provider Business Practice Location Address
First Line : 9590 E IRONWOOD SQUARE DR
Second Line : STE 125
City : SCOTTSDALE
State : AZ
Zip : 85258-4583
Country : US
Telephone Number : 480-455-3000
Fax Number : 866-819-6115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 09/11/2020

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Directions to “ RICHARD M ERNST M.D.” Practice Location

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