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NPI Code Detail

MEDICARE: DESERT OASIS PERSONALIZED CARE PLLC

MEDICARE: DESERT OASIS PERSONALIZED CARE PLLC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1780406116
Entity Type Code : Organization
Provider Name (Legal Business Name) : DESERT OASIS PERSONALIZED CARE PLLC
Provider Business Mailing Address
First Line : 4955 N SABINO CANYON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85750-6491
Country : US
Telephone Number : 520-375-9811
Fax Number :
Provider Business Practice Location Address
First Line : 4955 N SABINO CANYON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85750-6491
Country : US
Telephone Number : 520-375-9811
Fax Number : 520-675-1477
Authorized Official
Title or Position : MD/OWNER
Name : DR. PATRICK NOONAN
Credential : D.O.
Telephone Number : 520-375-9811
Provider Enumeration Date : 10/28/2024
Last Update Date : 10/28/2024

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Directions to “DESERT OASIS PERSONALIZED CARE PLLC ” Practice Location

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