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NPI Code Detail

MEDICARE: DENNIS ECKEL M.D.

MEDICARE: DENNIS ECKEL 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
1174400000XSpecialist17215AZ
2207V00000XObstetrics & Gynecology Physician17215AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14050100OTHERAZCIGNA
2277584OTHERAZMERCY CARE
3AZ0254060OTHERAZBLUE CROSS BLUE SHIELD
4277584OTHERAZAHCCCS
51Z2040OTHERAZHEALTHNET

General Provider Information

NPI Number : 1972565695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS ECKEL M.D.
Provider Business Mailing Address
First Line : 2424 N WYATT DR STE 260
Second Line :
City : TUCSON
State : AZ
Zip : 85712-6118
Country : US
Telephone Number : 520-795-0608
Fax Number : 520-795-0354
Provider Business Practice Location Address
First Line : 5111 N SCOTTSDALE RD STE 143
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85250-7076
Country : US
Telephone Number : 480-945-6583
Fax Number : 480-945-0359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 01/27/2021

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Directions to “ DENNIS ECKEL M.D.” Practice Location

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