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NPI Code Detail

MEDICARE: HARMONI PEEBLES PA

MEDICARE:   HARMONI  PEEBLES  PA
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
1363A00000XPhysician Assistant4982AZ
2363A00000XPhysician AssistantPA9106312FL

Other Identifiers

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

General Provider Information

NPI Number : 1780951707
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARMONI PEEBLES PA
Provider Business Mailing Address
First Line : 901 E JEFFERSON ST
Second Line : HOSPITALISTS OFFICE 4TH FLOOR
City : PHOENIX
State : AZ
Zip : 85034-2219
Country : US
Telephone Number : 602-833-3199
Fax Number : 602-833-3190
Provider Business Practice Location Address
First Line : 901 E JEFFERSON ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85034-2219
Country : US
Telephone Number : 602-833-3199
Fax Number : 602-833-3190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2011
Last Update Date : 04/26/2017

Similar Medicare Providers

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Directions to “ HARMONI PEEBLES PA” Practice Location

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