MEDICARE: MICHAEL SCOTT DRURY 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
1	207R00000X	Internal Medicine Physician	19145	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110222461	OTHER		RAILROAD MEDICARE

General Provider Information

NPI Number	:	1568462893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL SCOTT DRURY M.D.

Provider Business Mailing Address
First Line	:	3815 E BELL RD STE 4500
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2171
Country	:	US
Telephone Number	:	602-633-3848
Fax Number	:	602-633-3841

Provider Business Practice Location Address
First Line	:	3815 E BELL RD
Second Line	:	SUITE 4100
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2122
Country	:	US
Telephone Number	:	602-494-5040
Fax Number	:	602-494-4020

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/29/2024

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