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Individual

DAVID ANTHONY EMMERSON

Active
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Individual

DAVID ANTHONY EMMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
7700
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
7700
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346210655
PHYSICIAN INDIVIDUAL NPI
AZ
05
248478
AZ
01
300024033
MEDICARE RAILROAD
AZ
01
CS7943
GROUP MEDICARE RAILROAD ID & PTAN
AZ
01
ZWCBBM
GROUP MEDICARE ID
AZ
Enumeration date
01/26/2006
Last updated
07/12/2019
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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