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NPI Code Detail

MEDICARE: VINCENT J HONAN MD PC

MEDICARE: VINCENT J HONAN MD PC
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
1207RG0100XGastroenterology Physician19895AZ

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 : 1508969122
Entity Type Code : Organization
Provider Name (Legal Business Name) : VINCENT J HONAN MD PC
Provider Business Mailing Address
First Line : 1300 12TH STR
Second Line : #518
City : PHOENIX
State : AZ
Zip : 85006-2849
Country : US
Telephone Number : 602-257-9488
Fax Number : 602-254-4258
Provider Business Practice Location Address
First Line : 1300 12TH STR
Second Line : #518
City : PHOENIX
State : AZ
Zip : 85006-2849
Country : US
Telephone Number : 602-257-9488
Fax Number : 602-254-4258
Authorized Official
Title or Position : OWNER
Name : DR. VINCENT J HONAN
Credential : MD
Telephone Number : 602-257-9488
Provider Enumeration Date : 09/07/2006
Last Update Date : 05/28/2008

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