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NPI Code Detail

MEDICARE: MR. DENNIS A DRISCOLL PT

MEDICARE:  MR. DENNIS A DRISCOLL  PT
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
1225100000XPhysical Therapist0392AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
186059251885704C002OTHERAZTRICARE

General Provider Information

NPI Number : 1477550010
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS A DRISCOLL PT
Provider Business Mailing Address
First Line : PO BOX 36867
Second Line :
City : TUCSON
State : AZ
Zip : 85740-6867
Country : US
Telephone Number : 520-293-5551
Fax Number : 520-293-6638
Provider Business Practice Location Address
First Line : 5501 N ORACLE RD
Second Line : STE 101
City : TUCSON
State : AZ
Zip : 85704-3850
Country : US
Telephone Number : 520-293-5551
Fax Number : 520-293-6638
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 09/03/2010

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Directions to “ MR. DENNIS A DRISCOLL PT” Practice Location

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