The Devereux Foundation

NPI 1003913385 - Clinic/Center - 261QM0855X

NPI Details
NPI 1003913385
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LANE LANE
Position EXECUTIVE DIRECTOR
Phone (520) 296-5551
Fax
Practice Location
6141 E GRANT RD
TUCSON AZ, 85712-5829, US
Phone (520) 296-5551
Fax
Business Location
11000 N SCOTTSDALE RD STE 260
SCOTTSDALE AZ, 85254-5270, US
Phone (480) 998-2920
Fax
Toxanomy
Taxonomy Code 261QM0855X
License State Arizona
License Number BH-721
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According to our database, The Devereux Foundation NPI is 1003913385, taxonomy code is 261QM0855X and license number is BH-721, license state is located at Arizona. The Devereux Foundation physically located at 6141 E Grant Rd, Tucson AZ, 85712-5829. NPI Number 1033115704 has the healthcare provider type.

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1003913385 NPI number is provided on an as is basis without warranty of any kind. 1003913385 is maintained by the National Plan & Provider Enumeration System. The contents of The Devereux Foundation are for informational purposes only.