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NPI Code Detail

MEDICARE: RICHARD A HOSHAW, M.D., P.C.

MEDICARE: RICHARD A HOSHAW, M.D., P.C.
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
1174400000XSpecialist11397AZ

General Provider Information

NPI Number : 1891984472
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD A HOSHAW, M.D., P.C.
Provider Business Mailing Address
First Line : 2375 N WYATT DR
Second Line : SUITE 109
City : TUCSON
State : AZ
Zip : 85712-2152
Country : US
Telephone Number : 520-881-8600
Fax Number : 520-881-8163
Provider Business Practice Location Address
First Line : 2375 N WYATT DR
Second Line : SUITE 109
City : TUCSON
State : AZ
Zip : 85712-2152
Country : US
Telephone Number : 520-881-8600
Fax Number : 520-881-8163
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD A HOSHAW
Credential : M.D.
Telephone Number : 520-881-8600
Provider Enumeration Date : 10/18/2007
Last Update Date : 10/18/2007

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