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NPI Code Detail

MEDICARE: MADISON SCHOOL DISTRICT # 38

MEDICARE: MADISON SCHOOL DISTRICT # 38
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
1390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

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

General Provider Information

NPI Number : 1710023197
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADISON SCHOOL DISTRICT # 38
Provider Business Mailing Address
First Line : 5601 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-2903
Country : US
Telephone Number : 602-664-7931
Fax Number : 602-664-7998
Provider Business Practice Location Address
First Line : 5601 N 16TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-2903
Country : US
Telephone Number : 602-664-7931
Fax Number : 602-664-7998
Authorized Official
Title or Position : SCHOOL PSYCHOLOGIST
Name : MR. PHIL PADILLA
Credential :
Telephone Number : 602-664-7230
Provider Enumeration Date : 01/30/2007
Last Update Date : 08/13/2008

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Directions to “MADISON SCHOOL DISTRICT # 38 ” Practice Location

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