West Ajo Medical Center Ltd.
Family Medicine in Tucson, AZ. Organization (NPI-2).
NPI number1124326558
StatusActive
Last updated in NPPESMar 9, 2011
Details
- NPI
- 1124326558
- Entity type
- Organization (NPI-2)
- Legal business name
- West Ajo Medical Center Ltd.
- Organization subpart
- No
- Enumeration date
- Mar 9, 2011
- Last updated
- Mar 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 1951 | AZ | Yes |
Practice location
101 W Ajo WayTucson, AZ 85713-6036
Phone 520-573-0993 · Fax 520-573-0440
Mailing address
101 W Ajo WayTucson, AZ 85713-6036
Phone 520-573-0993 · Fax 520-573-0440
Authorized official
Albert Robert Fritz
Owner/Sole Proprietor
5205730993
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