Providence Of Arizona, Inc.

NPI 1043316862 - Clinic/Center - 261QM0801X

NPI Details
NPI 1043316862
Enumeration Date 09/16/2006
Last Updated 09/23/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID DAVID
Position EXECUTIVE DIRECTOR
Phone (520) 747-6676
Fax (520) 747-6605
Practice Location
1161 N EL DORADO PL
TUCSON AZ, 85715-4607, US
Phone (520) 747-6676
Fax (520) 747-6605
Business Location
1161 N EL DORADO PL
SUITE 103
TUCSON AZ, 85715-4607, US
Phone (520) 747-6676
Fax (520) 747-6605
Toxanomy
Taxonomy Code 261QM0801X
License State Arizona
License Number BH-1229
Remove 1043316862 NPI Number
 

According to our database, Providence Of Arizona, Inc. NPI is 1043316862, taxonomy code is 261QM0801X and license number is BH-1229, license state is located at Arizona. Providence Of Arizona, Inc. physically located at 1161 N El Dorado Pl, Tucson AZ, 85715-4607. NPI Number 1033115704 has the healthcare provider type.

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1043316862 NPI number is provided on an as is basis without warranty of any kind. 1043316862 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Of Arizona, Inc. are for informational purposes only.