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NPI Code Detail

MEDICARE: DR. JEFFREY M GOLD M.D.

MEDICARE: DR. JEFFREY M GOLD 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
1207R00000XInternal Medicine Physician32115AZ

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 : 1477642437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY M GOLD M.D.
Provider Business Mailing Address
First Line : 6367 E. TANQUE VERDE RD.
Second Line : SUITE 200
City : TUCSON
State : AZ
Zip : 85715-3832
Country : US
Telephone Number : 520-290-5888
Fax Number : 520-290-5551
Provider Business Practice Location Address
First Line : 6367 E. TANQUE VERDE RD.
Second Line : SUITE 200
City : TUCSON
State : AZ
Zip : 85715-3832
Country : US
Telephone Number : 520-290-5888
Fax Number : 520-290-5551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 11/15/2011

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