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NPI Code Detail

MEDICARE: ROBERT C CANDIPAN MD

MEDICARE:   ROBERT C CANDIPAN  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
1207RI0011XInterventional Cardiology Physician40722AZ

General Provider Information

NPI Number : 1457375529
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT C CANDIPAN MD
Provider Business Mailing Address
First Line : 5416 E BASELINE RD STE 129
Second Line :
City : MESA
State : AZ
Zip : 85206-4703
Country : US
Telephone Number : 480-945-4343
Fax Number : 480-945-4350
Provider Business Practice Location Address
First Line : 7529 E BROADWAY RD STE 101
Second Line :
City : MESA
State : AZ
Zip : 85208-2007
Country : US
Telephone Number : 480-945-4343
Fax Number : 480-945-4350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 01/12/2023

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Directions to “ ROBERT C CANDIPAN MD” Practice Location

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