Individual
DAVID ANTHONY EMMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7158 E DESERT MOON LOOP, TUCSON, AZ 85750-0918
(520) 403-0300
Mailing address
7158 E DESERT MOON LOOP, TUCSON, AZ 85750-0918
(520) 403-0300
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
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