MEDICARE: DR. JORGE FRANCO O'LEARY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	AZ10678	AZ

General Provider Information

NPI Number	:	1083610109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE FRANCO O'LEARY MD

Provider Business Mailing Address
First Line	:	5420 S 12TH AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-3276
Country	:	US
Telephone Number	:	520-889-9410
Fax Number	:	520-889-1215

Provider Business Practice Location Address
First Line	:	5420 S 12TH AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-3276
Country	:	US
Telephone Number	:	520-889-9410
Fax Number	:	520-889-1215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/08/2007

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