Individual
MICHAEL J. FUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 S. DOBSON RD., CHANDLER, AZ 85224
(480) 558-5306
(480) 558-5307
Mailing address
9097 E DESERT COVE AVE STE 200, SCOTTSDALE, AZ 85260-6280
(480) 273-8510
(480) 214-9933
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
26456
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000104
UNITED HEALTH CARE NUMBER
AZ
01
—
1089172010
CIGNA NUMBER
AZ
01
—
1Z0832
HEALTHNET NUMBER
AZ
01
—
4292122
AETNA NUMBER
AZ
01
—
520660
AHCCCS
AZ
01
—
AZ0876560
BCBS NUMBER
AZ
Enumeration date
09/30/2005
Last updated
07/28/2020
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