Ellen Marie San Buenaventura MD

NPI 1083796098 - Pediatrics - 208000000X

NPI Details
NPI 1083796098
Gender Female
Enumeration Date 10/19/2006
Last Updated 08/07/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
5161 N STONEHOUSE PL
TUCSON AZ, 85750-9671, US
Phone (520) 749-5889
Fax
Business Location
5161 N STONE HOUSE PL
TUCSON AZ, 85750, US
Phone (520) 749-5889
Fax
Toxanomy
Taxonomy Code 208000000X
License State Arizona
License Number 14454
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According to our database, Dr. Ellen Marie San Buenaventura MD NPI is 1083796098, taxonomy code is 208000000X and license number is 14454, license state is located at Arizona. Ellen Marie San Buenaventura MD physically located at 5161 N Stonehouse Pl, Tucson AZ, 85750-9671. NPI Number Ellen Marie San Buenaventura MD has the Individual type.

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1083796098 NPI number is provided on an as is basis without warranty of any kind. 1083796098 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Marie San Buenaventura MD are for informational purposes only.