MEDICARE: DR. ANDREW W MARCH 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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	15436	AZ

General Provider Information

NPI Number	:	1700850922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW W MARCH M.D.

Provider Business Mailing Address
First Line	:	7244 N 12TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8022
Country	:	US
Telephone Number	:	602-944-6728
Fax Number	:	602-861-0767

Provider Business Practice Location Address
First Line	:	7244 N 12TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-8022
Country	:	US
Telephone Number	:	602-944-6728
Fax Number	:	602-861-0767

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	08/21/2007

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