Arizona Pediatric Surgery Ltd
Specialist in Tucson, AZ. Organization (NPI-2).
NPI number1720111396
StatusActive
Last updated in NPPESNov 30, 2007
Details
- NPI
- 1720111396
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Pediatric Surgery Ltd
- Organization subpart
- No
- Enumeration date
- Mar 13, 2007
- Last updated
- Nov 30, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
5166 E Glenn StTucson, AZ 85712-1337
Phone 520-795-5338 · Fax 520-795-5382
Mailing address
5166 E Glenn StTucson, AZ 85712-1337
Phone 520-795-5338 · Fax 520-795-5382
Authorized official
Catherine Cosentino
Officer
5207955338
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