MEDICARE: DEVON J. AUTH P.A.

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
1	363A00000X	Physician Assistant		AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z165332	OTHER		MEDICARE PTAN
3	Z158179	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497092696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVON J. AUTH P.A.

Provider Business Mailing Address
First Line	:	6150 E LOWDEN RD
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-3046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10330 N SCOTTSDALE RD STE 25
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85253-1427
Country	:	US
Telephone Number	:	480-825-7496
Fax Number	:	480-878-4153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2013
Last Update Date	:	03/27/2015

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Directions to “ DEVON J. AUTH P.A.” Practice Location

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