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NPI Code Detail

MEDICARE: DR. VICTORIA R. FEWELL M.D.

MEDICARE: DR. VICTORIA R. FEWELL 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
1207V00000XObstetrics & Gynecology Physician25556AZ

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 : 1972588960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA R. FEWELL 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 : 6261 N LA CHOLLA BLVD STE 277
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3564
Country : US
Telephone Number : 520-877-3800
Fax Number : 520-877-3801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 01/26/2021

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Directions to “ DR. VICTORIA R. FEWELL M.D.” Practice Location

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