MEDICARE: MARJORIE LAUREN ESKAY-AUERBACH 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	207XS0117X	Orthopaedic Surgery of the Spine Physician	21502	AZ
2	208VP0000X	Pain Medicine Physician	21502	AZ
3	209800000X	Legal Medicine (M.D./D.O.) Physician	21502	AZ

General Provider Information

NPI Number	:	1821039629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE LAUREN ESKAY-AUERBACH M.D.

Provider Business Mailing Address
First Line	:	6369 E TANQUE VERDE RD
Second Line	:	STE. 195
City	:	TUCSON
State	:	AZ
Zip	:	85715-3850
Country	:	US
Telephone Number	:	520-731-9137
Fax Number	:	520-731-9130

Provider Business Practice Location Address
First Line	:	6369 E TANQUE VERDE RD
Second Line	:	SUITE 195
City	:	TUCSON
State	:	AZ
Zip	:	85715-3850
Country	:	US
Telephone Number	:	520-731-9137
Fax Number	:	520-731-9130

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

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	09/14/2007

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