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NPI Code Detail

MEDICARE: DR. FREDERIQUE P. DELHAYE M.D.

MEDICARE: DR. FREDERIQUE P. DELHAYE 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
12084B0040XBehavioral Neurology & Neuropsychiatry PhysicianFD5569770AZ

General Provider Information

NPI Number : 1497804827
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERIQUE P. DELHAYE M.D.
Provider Business Mailing Address
First Line : 11670 N 109TH ST
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-3024
Country : US
Telephone Number : 732-221-6874
Fax Number : 928-233-8508
Provider Business Practice Location Address
First Line : 5750 E HIGHWAY 90 STE 200
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-9113
Country : US
Telephone Number : 520-263-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 05/08/2019

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Directions to “ DR. FREDERIQUE P. DELHAYE M.D.” Practice Location

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