Individual
MRS. ESZTER DEMETER WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10063 N BLUE CROSSING WAY, TUCSON, AZ 85743-5213
(520) 820-0973
Mailing address
10063 N BLUE CROSSING WAY, TUCSON, AZ 85743-5213
(520) 820-0973
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45762
AZ
2085R0202X
Diagnostic Radiology Physician
R72182
AZ
2085U0001X
Diagnostic Ultrasound Physician
45762
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005472
GROUP MEDICAID ID
AZ
01
—
1841261989
GROUP NPI
AZ
01
—
921495
PHYSICIAN AHCCCS ID
AZ
01
—
CS7943
GROUP MEDICARE RAILROAD ID & PTAN
AZ
01
—
ZWCBBM
GROUP MEDICARE ID
AZ
Enumeration date
10/20/2010
Last updated
02/06/2017
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