MEDICARE: TUCSON PULMONOLOGY, P.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	AZ
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	AZ
3	207RP1001X	Pulmonary Disease Physician	AZ

General Provider Information

NPI Number	:	1720017429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUCSON PULMONOLOGY, P.C.

Provider Business Mailing Address
First Line	:	6567 E CARONDELET DR
Second Line	:	SUITE 215
City	:	TUCSON
State	:	AZ
Zip	:	85710-2156
Country	:	US
Telephone Number	:	520-885-1402
Fax Number	:	520-722-5887

Provider Business Practice Location Address
First Line	:	6567 E CARONDELET DR STE 515
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-6158
Country	:	US
Telephone Number	:	520-885-1402
Fax Number	:	520-722-5887

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	CATHARINE NOLAN BELANGER
Credential	:	D.C., MBA
Telephone Number	:	203-446-9065

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	12/21/2020

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