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NPI Code Detail

MEDICARE: MICHAEL W COUCH MD

MEDICARE: MICHAEL W COUCH 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
1207P00000XEmergency Medicine Physician18127AZ

General Provider Information

NPI Number : 1427145747
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL W COUCH MD
Provider Business Mailing Address
First Line : 6620 N ALVERNON WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85718-2407
Country : US
Telephone Number : 520-529-9265
Fax Number : 520-795-8815
Provider Business Practice Location Address
First Line : 3402 E BROADWAY BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85716-5406
Country : US
Telephone Number : 520-881-0050
Fax Number : 520-795-8815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 11/04/2011

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