Sport Institute Of Tucson Pc

NPI 1154389005 - Specialist - 174400000X

NPI Details
NPI 1154389005
Enumeration Date 05/02/2006
Last Updated 08/27/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TY HOWARD TY
Position DIRECTOR/OWNER
Phone (520) 618-5500
Fax (520) 618-5944
Practice Location
6369 E TANQUE VERDE RD
TUCSON AZ, 85715-3850, US
Phone (520) 618-5500
Fax (520) 618-5944
Business Location
6369 E TANQUE VERDE RD
TUCSON AZ, 85715-3850, US
Phone (520) 618-5500
Fax (520) 618-5944
Toxanomy
Taxonomy Code 174400000X
License State Arizona
License Number 3953
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According to our database, Sport Institute Of Tucson Pc NPI is 1154389005, taxonomy code is 174400000X and license number is 3953, license state is located at Arizona. Sport Institute Of Tucson Pc physically located at 6369 E Tanque Verde Rd, Tucson AZ, 85715-3850. NPI Number 1033115704 has the healthcare provider type.

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1154389005 NPI number is provided on an as is basis without warranty of any kind. 1154389005 is maintained by the National Plan & Provider Enumeration System. The contents of Sport Institute Of Tucson Pc are for informational purposes only.