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NPI Code Detail

MEDICARE: ELLEN MARIE PAIGE MD

MEDICARE: ELLEN MARIE PAIGE 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
1207VG0400XGynecology Physician18995AZ
2207V00000XObstetrics & Gynecology Physician18995AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00426275OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902847031
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN MARIE PAIGE MD
Provider Business Mailing Address
First Line : 329 W FRANKLIN ST
Second Line :
City : TUCSON
State : AZ
Zip : 85701-8207
Country : US
Telephone Number : 520-884-5249
Fax Number : 520-547-3395
Provider Business Practice Location Address
First Line : 329 W FRANKLIN ST
Second Line :
City : TUCSON
State : AZ
Zip : 85701-8207
Country : US
Telephone Number : 520-884-5249
Fax Number : 520-547-3395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 08/01/2008

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Directions to “ ELLEN MARIE PAIGE MD” Practice Location

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