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NPI Code Detail

MEDICARE: DR. JOSE ASCENSION ARMENDARIZ M.D.

MEDICARE: DR. JOSE ASCENSION ARMENDARIZ 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
1207QS0010XSports Medicine (Family Medicine) Physician35.144911OH

General Provider Information

NPI Number : 1740509280
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE ASCENSION ARMENDARIZ M.D.
Provider Business Mailing Address
First Line : 1 PARK WEST BLVD STE 330
Second Line :
City : AKRON
State : OH
Zip : 44320-4226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 PARK WEST BLVD STE 330
Second Line :
City : AKRON
State : OH
Zip : 44320-4226
Country : US
Telephone Number : 330-375-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2010
Last Update Date : 07/17/2022

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