Provider Demographics
NPI:1356551550
Name:MEARS, MARGARET (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:MEARS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11026 N COGGINS DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-4211
Mailing Address - Country:US
Mailing Address - Phone:602-421-3881
Mailing Address - Fax:623-455-3582
Practice Address - Street 1:11026 N COGGINS DR
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-4211
Practice Address - Country:US
Practice Address - Phone:602-421-3881
Practice Address - Fax:623-455-3582
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 14076208100000X
AZAZ14076207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ249848OtherAHCCCS
AZ14076OtherSTATE MEDICAL LICENSE
AZ249848OtherAHCCCS