NPI age
20 years
Enumerated 2005-11-04
Across 1738 active physical medicine & rehabilitation providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AZ) | 250008547 | RR MEDICARE |
| 01 (CA) | 00G850000 | MEDICARE OF N CA |
| 01 (AZ) | AZ0818870 | BC/BS OF AZ |
| 01 (AZ) | Z21067 | MEDICARE PROV # |
| 05 (AZ) | 403387 |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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