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NPI Code Detail

MEDICARE: PETER KUBITZ D.O.

MEDICARE: PETER KUBITZ D.O.
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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician30879AZ
2208100000XPhysical Medicine & Rehabilitation Physician8278AZ

General Provider Information

NPI Number : 1750373718
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER KUBITZ D.O.
Provider Business Mailing Address
First Line : 20950 N TATUM BLVD STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4204
Country : US
Telephone Number : 480-222-7246
Fax Number : 480-222-7271
Provider Business Practice Location Address
First Line : 20950 N TATUM BLVD STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4204
Country : US
Telephone Number : 480-222-7246
Fax Number : 480-222-7271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 02/12/2026

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Directions to “ PETER KUBITZ D.O.” Practice Location

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