MEDICARE: DR. JOHN TYLER FRENCH 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
1	207Y00000X	Otolaryngology Physician	49231	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	:	1770727323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN TYLER FRENCH M.D.

Provider Business Mailing Address
First Line	:	1010 E MCDOWELL RD
Second Line	:	STE LL1
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2606
Country	:	US
Telephone Number	:	602-601-7752
Fax Number	:	523-321-8585

Provider Business Practice Location Address
First Line	:	1010 E MCDOWELL RD STE 200
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2608
Country	:	US
Telephone Number	:	602-601-7752
Fax Number	:	623-321-8585

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

Provider Enumeration Date	:	04/27/2009
Last Update Date	:	02/18/2020

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