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OSCAR ERNESTO ANDRADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
285 N BROAD ST, GLOBE, AZ 85501-2503
(928) 425-8200
(928) 425-8406
Mailing address
285 N BROAD ST, GLOBE, AZ 85501-2503
(928) 425-8200
(928) 425-8406

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27758
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205962792
NPI TYPE II MEDCOM MEDICAL LLC
AZ
01
1275685521
NPI TYPE I OSCAR ANDRADE
AZ
05
475592
AZ
01
Z71760
PTAN MEDCOM MEDICAL, LLC
AZ
01
Z71801
PTAN OSCAR ANDRADE
AZ
Enumeration date
01/17/2007
Last updated
10/06/2025
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