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NPI Code Detail

MEDICARE: MADELEINE TRAIL

MEDICARE: MADELEINE TRAIL
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
11835S0206XSolid Organ Transplant PharmacistS027126AZ

General Provider Information

NPI Number : 1821939554
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELEINE TRAIL
Provider Business Mailing Address
First Line : 13400 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-5452
Country : US
Telephone Number : 480-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 13400 E SHEA BLVD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85259-5452
Country : US
Telephone Number : 480-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ MADELEINE TRAIL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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