MD MED INC NPI 1700964038

NPI Information

NPI: 1700964038
Provider Name: MD MED INC

Doing Business As: SIERRA VISTA CANCER CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
155 CALLE PORTAL SUITE 700
SIERRA VISTA CANCER CENTER
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-1718
Get Directions

MD MED INC is a multi-specialty clinic center in Sierra Vista, AZ. MD MED INC NPI is 1700964038. The provider is registered as an organization entity type.
The provider Is Doing Business As Sierra Vista Cancer Center.

The provider's business location address is:

155 CALLE PORTAL SUITE 700
SIERRA VISTA CANCER CENTER
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-1718
Fax: (520) 458-1001

The provider's authorized official is Jesse P Truitt .
The authorized official title is President & Ceo and has the following contact phone number (520) 439-4441.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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