Monica R Vandivort in Tucson - Geriatric Medicine

Monica R Vandivort - NPI 1720044365

Monica R Vandivort is a Geriatric Medicine in Tucson, Arizona. Monica R Vandivort practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Monica R Vandivort is 1720044365. The last update date is 2014-04-15.

Monica R Vandivort's current location address is 2800 E Ajo Way, Tucson, Arizona. You can contact this provider via phone number 5206948888 and fax number 5204582444. The mailing address for Monica R Vandivort is 2800 E Ajo Way, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Monica R Vandivort
Address 2800 E Ajo Way, Tucson, Arizona
Phone Number 5206948888
Fax Number 5204582444
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1720044365
Provider Enumeration Date 2006-04-22
Last Updated Date 2014-04-15

Provider Mailing Address Detail

Address 2800 E Ajo Way
City Tucson
State Arizona (AZ)
Post Code 857136204
Phone Number 5206948888
Fax Number 5204582444

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No 26972
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
445230 AZ --

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FAQs about Monica R Vandivort

What is the unique 10-digit identification code assigned to Monica R Vandivort by the Centers for Medicare & Medicaid Services?

The Monica R Vandivort has been issued the NPI (National Provider Identifier) 1720044365, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Monica R Vandivort's physical address?

The Monica R Vandivort is physically located at 2800 E Ajo Way, in the city of Tucson, AZ, with the postal code 857136204.

What is Monica R Vandivort's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Monica R Vandivort is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rg0300X.

On what date did the Monica R Vandivort receive its 1720044365 assignment from the Centers for Medicare & Medicaid Services?

The Monica R Vandivort was assigned its 1720044365 by the Centers for Medicare & Medicaid Services on 2006-04-22.

As of what date were the details related to Monica R Vandivort most recently updated or revised?

The information pertaining to Monica R Vandivort, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-15.

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