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NPI Code Detail

MEDICARE: ACUPUNCTURE & ALLERGY CLINIC

MEDICARE: ACUPUNCTURE & ALLERGY CLINIC
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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1790327476
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACUPUNCTURE & ALLERGY CLINIC
Provider Business Mailing Address
First Line : 5501 N SWAN RD STE 249
Second Line :
City : TUCSON
State : AZ
Zip : 85718-5445
Country : US
Telephone Number : 520-991-5891
Fax Number :
Provider Business Practice Location Address
First Line : 5501 N SWAN RD STE 249
Second Line :
City : TUCSON
State : AZ
Zip : 85718-5445
Country : US
Telephone Number : 520-991-5891
Fax Number :
Authorized Official
Title or Position : ACUPUNCTURIST
Name : FIRUZEH MEHRABANI
Credential : LAC
Telephone Number : 520-991-5891
Provider Enumeration Date : 10/14/2019
Last Update Date : 10/14/2019

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Directions to “ACUPUNCTURE & ALLERGY CLINIC ” Practice Location

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