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NPI Code Detail

MEDICARE: SEAN PATRICK MAYO MD

MEDICARE: SEAN PATRICK MAYO 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
1207P00000XEmergency Medicine Physician11260NV
2207P00000XEmergency Medicine Physician33438AZ

General Provider Information

NPI Number : 1700888203
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN PATRICK MAYO MD
Provider Business Mailing Address
First Line : 5210 E FARNESS DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2140
Country : US
Telephone Number : 520-795-4100
Fax Number : 520-795-4224
Provider Business Practice Location Address
First Line : 5210 E FARNESS DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2140
Country : US
Telephone Number : 520-795-4100
Fax Number : 520-795-4224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 07/30/2015

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Directions to “ SEAN PATRICK MAYO MD” Practice Location

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