MEDICARE: DR. WENDY A HUEMPFNER 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	174400000X	Specialist	18840	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	:	1790779940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY A HUEMPFNER M.D.

Provider Business Mailing Address
First Line	:	6001 E. GRANT RD.
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712
Country	:	US
Telephone Number	:	520-745-6513
Fax Number	:	520-733-1017

Provider Business Practice Location Address
First Line	:	1951 N. WILMOT RD.
Second Line	:	BLDG. #1 STE. #2
City	:	TUCSON
State	:	AZ
Zip	:	85712-2316
Country	:	US
Telephone Number	:	520-722-3777
Fax Number	:	520-296-6224

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

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	02/02/2010

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