MEDICARE: TUCSON ASSOCIATES IN NEPHROLOGY & HYPERTENSION

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	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1104835313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUCSON ASSOCIATES IN NEPHROLOGY & HYPERTENSION

Provider Business Mailing Address
First Line	:	1773 W SAINT MARYS RD
Second Line	:	SUITE 105
City	:	TUCSON
State	:	AZ
Zip	:	85745-2654
Country	:	US
Telephone Number	:	520-622-3569
Fax Number	:	520-623-7257

Provider Business Practice Location Address
First Line	:	1773 W SAINT MARYS RD
Second Line	:	SUITE 105
City	:	TUCSON
State	:	AZ
Zip	:	85745-2654
Country	:	US
Telephone Number	:	520-622-3569
Fax Number	:	520-623-7257

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALAN I COHN
Credential	:	M.D.
Telephone Number	:	520-622-3569

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/22/2020

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