MEDICARE: DR. ANTONIO T UVAS 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
1	207Q00000X	Family Medicine Physician	35614	AZ

General Provider Information

NPI Number	:	1730109745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO T UVAS MD

Provider Business Mailing Address
First Line	:	14300 W GRANITE VALLEY DR
Second Line	:	SUITE B-7
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-5783
Country	:	US
Telephone Number	:	623-776-3047
Fax Number	:

Provider Business Practice Location Address
First Line	:	14300 W GRANITE VALLEY DR
Second Line	:	SUITE B-7
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-5783
Country	:	US
Telephone Number	:	623-776-3047
Fax Number	:	623-776-3127

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	01/11/2011

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