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NPI Code Detail

MEDICARE: VIRGINIA ANN UNDERWOOD M.D.

MEDICARE: VIRGINIA ANN UNDERWOOD 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
1207Q00000XFamily Medicine Physician01062847AIN

General Provider Information

NPI Number : 1700957420
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA ANN UNDERWOOD M.D.
Provider Business Mailing Address
First Line : 5046 N CORONADO VISTAS PL
Second Line :
City : TUCSON
State : AZ
Zip : 85749-7163
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4175 S ALAMO AVE
Second Line :
City : DAVIS MONTHAN AFB
State : AZ
Zip : 85707-4402
Country : US
Telephone Number : 520-228-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 09/23/2010

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Directions to “ VIRGINIA ANN UNDERWOOD M.D.” Practice Location

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