Provider Demographics
NPI:1497866586
Name:NEUMAN, JERRY (MD)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:
Last Name:NEUMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N WILMOT
Mailing Address - Street 2:SUITE A-240
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-8401
Mailing Address - Country:US
Mailing Address - Phone:520-885-4887
Mailing Address - Fax:520-296-1958
Practice Address - Street 1:1500 N WILMOT
Practice Address - Street 2:SUITE A-240
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-8401
Practice Address - Country:US
Practice Address - Phone:520-885-4887
Practice Address - Fax:520-296-1958
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ10036207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ70979Medicare ID - Type Unspecified
D37370Medicare UPIN