is a Vascular Surgery in Tucson, Arizona. practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for is 1972554558. The last update date is .
's current location address is 2701 E Elvira Rd, Tucson, Arizona. You can contact this provider via phone number 5208743500. The mailing address for is 2701 E Elvira Rd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2701 E Elvira Rd, Tucson, Arizona |
| Phone Number | 5208743500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972554558 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2701 E Elvira Rd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857067124 |
| Phone Number | 5208743500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 33173 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115163 | AZ | -- | |
| P00435400 | AZ | RAILROAD MEDICARE |
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