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NPI Code Detail

MEDICARE: SUZANNE M DREWSEN M.D.

MEDICARE: SUZANNE M DREWSEN 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
1207L00000XAnesthesiology Physician23538AZ

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 : 1437100112
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE M DREWSEN M.D.
Provider Business Mailing Address
First Line : PO BOX 36680
Second Line :
City : PHOENIX
State : AZ
Zip : 85067-6680
Country : US
Telephone Number : 602-234-1803
Fax Number : 602-234-3748
Provider Business Practice Location Address
First Line : 300 W CLARENDON AVE
Second Line : SUITE 142
City : PHOENIX
State : AZ
Zip : 85013-3449
Country : US
Telephone Number : 602-234-1803
Fax Number : 602-234-3748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 03/04/2016

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Directions to “ SUZANNE M DREWSEN M.D.” Practice Location

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