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NPI Code Detail

MEDICARE: IFIOK UMOREN

MEDICARE:   IFIOK  UMOREN
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
1363L00000XNurse PractitionerAP7941AZ

General Provider Information

NPI Number : 1477938850
Entity Type Code : Individual
Provider Name (Legal Business Name) : IFIOK UMOREN
Provider Business Mailing Address
First Line : 5501 N 19TH AVE STE 425
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-2481
Country : US
Telephone Number : 602-492-9800
Fax Number :
Provider Business Practice Location Address
First Line : 5501 N 19TH AVE STE 425
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-2481
Country : US
Telephone Number : 602-492-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2015
Last Update Date : 01/02/2024

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Directions to “ IFIOK UMOREN ” Practice Location

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