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>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1285626754

Individual Registrant:
Gender: M
Not Sole Proprietor

Location and contact information for practice:
Tel: 520-285-3000  Fax: --

Contact information for business:
2202 N FORBES BLVD  TUCSON, AZ 85745-1412 US
Tel: 520-285-3000  Fax: --

Registration Information:
NPI: 1285626754
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine

Legacy codes, insurance codes and state license numbers:



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