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NPI Code Detail

MEDICARE: PHILLIP DENNIS CITRON MD

MEDICARE: PHILLIP DENNIS CITRON MD
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
1207RC0000XCardiovascular Disease Physician12561AZ
2207RC0000XCardiovascular Disease Physician23259NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851349575
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP DENNIS CITRON MD
Provider Business Mailing Address
First Line : PO BOX 43130
Second Line :
City : TUCSON
State : AZ
Zip : 85733-3130
Country : US
Telephone Number : 520-722-3777
Fax Number : 520-296-6224
Provider Business Practice Location Address
First Line : 5210 E FARNESS DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2140
Country : US
Telephone Number : 520-325-3326
Fax Number : 520-325-5103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 05/13/2013

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Directions to “ PHILLIP DENNIS CITRON MD” Practice Location

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