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NPI Code Detail

MEDICARE: MELIN S CANEZ MD

MEDICARE: MELIN S CANEZ MD
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
1207V00000XObstetrics & Gynecology Physician17362AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598742488
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELIN S CANEZ MD
Provider Business Mailing Address
First Line : PO BOX 30513
Second Line :
City : TUCSON
State : AZ
Zip : 85751-0513
Country : US
Telephone Number : 520-886-5236
Fax Number : 520-722-5662
Provider Business Practice Location Address
First Line : 1515 NE LAWRIE TATUM RD
Second Line :
City : LAWTON
State : OK
Zip : 73507-3002
Country : US
Telephone Number : 580-354-5620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 11/01/2011

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