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NPI Code Detail

MEDICARE: DAVID GARCIA LICENSED ACUPUNCTURE

MEDICARE:   DAVID  GARCIA  LICENSED ACUPUNCTURE
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
1171100000XAcupuncturist1075
2171100000XAcupuncturist1075AZ

General Provider Information

NPI Number : 1831620723
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GARCIA LICENSED ACUPUNCTURE
Provider Business Mailing Address
First Line : 737 W ROMEY AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85041
Country : US
Telephone Number : 602-510-6815
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-1004
Country : US
Telephone Number : 602-307-0888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 11/03/2020

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Directions to “ DAVID GARCIA LICENSED ACUPUNCTURE” Practice Location

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