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NPI Code Detail

MEDICARE: DR. GUILLERMO HIGA SANSONE M.D.

MEDICARE: DR. GUILLERMO HIGA SANSONE 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
1208600000XSurgery Physician52155AZ

General Provider Information

NPI Number : 1871763540
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GUILLERMO HIGA SANSONE M.D.
Provider Business Mailing Address
First Line : 1712 W ANKLAM RD STE 101
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2660
Country : US
Telephone Number : 520-207-2384
Fax Number : 520-367-4297
Provider Business Practice Location Address
First Line : 1712 W ANKLAM RD STE 101
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2660
Country : US
Telephone Number : 520-207-2384
Fax Number : 520-367-4297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2008
Last Update Date : 06/04/2024

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