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NPI Code Detail

MEDICARE: LAURIE A FARRICIELLI MD, PC

MEDICARE: LAURIE A FARRICIELLI 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
1111NI0900XInternist Chiropractor21865AZ
2208M00000XHospitalist Physician21865AZ

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 : 1528204005
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAURIE A FARRICIELLI MD, PC
Provider Business Mailing Address
First Line : P.O. BOX 14406
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85267-4406
Country : US
Telephone Number : 480-860-0935
Fax Number : 480-860-6569
Provider Business Practice Location Address
First Line : 6360 E. THOMAS RD.
Second Line : #218
City : SCOTTSDALE
State : AZ
Zip : 85251-7054
Country : US
Telephone Number : 480-860-0935
Fax Number : 480-860-6569
Authorized Official
Title or Position : PRESIDENT
Name : DR. LAURIE A FARRICIELLI
Credential : MD
Telephone Number : 480-860-0935
Provider Enumeration Date : 01/05/2009
Last Update Date : 01/05/2009

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Directions to “LAURIE A FARRICIELLI MD, PC ” Practice Location

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