MEDICARE: EMERGENCY ROOM ASSOCIATES LIMITED

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	207P00000X	Emergency Medicine Physician	0134888	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1770586869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY ROOM ASSOCIATES LIMITED

Provider Business Mailing Address
First Line	:	P.O. BOX 12730
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85732
Country	:	US
Telephone Number	:	520-647-8854
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 N WILMOT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711
Country	:	US
Telephone Number	:	520-873-5429
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KIMBERLY EVANS
Credential	:
Telephone Number	:	520-647-8854

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/16/2015

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Directions to “EMERGENCY ROOM ASSOCIATES LIMITED ” Practice Location

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