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NPI Code Detail

MEDICARE: MADISON LAMAR HILL DO

MEDICARE: MADISON LAMAR HILL DO
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
1207Q00000XFamily Medicine Physician83768GA
2390200000XStudent in an Organized Health Care Education/Training Program
3207Q00000XFamily Medicine Physician009007AZ

General Provider Information

NPI Number : 1811474133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON LAMAR HILL DO
Provider Business Mailing Address
First Line : 8290 S HOUGHTON RD STE 150
Second Line :
City : TUCSON
State : AZ
Zip : 85747-9725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8290 S HOUGHTON RD STE 150
Second Line :
City : TUCSON
State : AZ
Zip : 85747-9725
Country : US
Telephone Number : 520-694-1045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2018
Last Update Date : 06/07/2022

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Directions to “ MADISON LAMAR HILL DO” Practice Location

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