Ellen Marie San Buenaventur in Tucson - Pediatric Emergency Medicine

Ellen Marie San Buenaventur - NPI 1083796098

Ellen Marie San Buenaventur is a Pediatric Emergency Medicine in Tucson, Arizona. Ellen Marie San Buenaventur practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Ellen Marie San Buenaventur is 1083796098. The last update date is 2012-08-07.

Ellen Marie San Buenaventur's current location address is 5161 N Stone House Pl, Tucson, Arizona. You can contact this provider via phone number 5207495889. The mailing address for Ellen Marie San Buenaventur is 5161 N Stone House Pl, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Marie San Buenaventur
Address 5161 N Stone House Pl, Tucson, Arizona
Phone Number 5207495889
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083796098
Provider Enumeration Date 2006-10-19
Last Updated Date 2012-08-07

Provider Mailing Address Detail

Address 5161 N Stone House Pl
City Tucson
State Arizona (AZ)
Post Code 85750
Phone Number 5207495889
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Emergency Medicine
Taxonomy 207Pp0204X
Licence No 14454
Definition:
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
240119 AZ AHCCCS
240119-10 AZ --
370016065 RAILROAD MCR

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FAQs about Ellen Marie San Buenaventur

What is the unique 10-digit identifier code assigned to Ellen Marie San Buenaventur by the Centers for Medicare & Medicaid Services?

The Ellen Marie San Buenaventur has been issued the NPI (National Provider Identifier) 1083796098 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Ellen Marie San Buenaventur is physically located?

The Ellen Marie San Buenaventur is situated at the following address: 5161 N Stone House Pl, Tucson, AZ 85750.

What is Ellen Marie San Buenaventur's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ellen Marie San Buenaventur is Pediatric Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207Pp0204X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083796098 to Ellen Marie San Buenaventur?

The Centers for Medicare & Medicaid Services originally issued the 1083796098 to Ellen Marie San Buenaventur on 2006-10-19.

When was the information regarding Ellen Marie San Buenaventur, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ellen Marie San Buenaventur, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-08-07.

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