Sport Institute Of Tucson Pc in Tucson - Specialist
Sport Institute Of Tucson Pc - NPI 1154389005
Sport Institute Of Tucson Pc is a Specialist in Tucson, Arizona. Sport Institute Of Tucson Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sport Institute Of Tucson Pc is 1154389005. The last update date is 2013-08-27.
Sport Institute Of Tucson Pc's current location address is 6369 E Tanque Verde Rd, Tucson, Arizona. You can contact this provider via phone number 5206185500 and fax number 5206185944. The mailing address for Sport Institute Of Tucson Pc is 6369 E Tanque Verde Rd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sport Institute Of Tucson Pc |
|---|---|
| Address | 6369 E Tanque Verde Rd, Tucson, Arizona |
| Phone Number | 5206185500 |
| Fax Number | 5206185944 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR/O |
|---|---|
| Authorized Official Name | Endean Howard Ty |
| Credentials | D.O. |
| Telephone Number | 5206185500 |
NPI Number Detail
| NPI Number | 1154389005 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2013-08-27 |
Provider Mailing Address Detail
| Address | 6369 E Tanque Verde Rd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857153850 |
| Phone Number | 5206185500 |
| Fax Number | 5206185944 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 3953 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11334734 | AZ | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sport Institute Of Tucson Pc by the Centers for Medicare & Medicaid Services?
The Sport Institute Of Tucson Pc has been assigned the NPI (National Provider Identifier) 1154389005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Sport Institute Of Tucson Pc?
The Sport Institute Of Tucson Pc is situated at 6369 E Tanque Verde Rd, in the city of Tucson, state of AZ, with the zip code 857153850.
What is the area of specialization for Sport Institute Of Tucson Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sport Institute Of Tucson Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When was the Sport Institute Of Tucson Pc's 1154389005 issued?
The Sport Institute Of Tucson Pc's 1154389005 was issued on 2006-05-02.
When was the information pertaining to Sport Institute Of Tucson Pc most recently updated or revised?
The details related to Sport Institute Of Tucson Pc, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-27.