Healthcare Provider Details

I. General information

NPI: 1376552703
Provider Name (Legal Business Name): TUCSON SURGICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 E TANGERINE RD #291
ORO VALLEY AZ
85755
US

IV. Provider business mailing address

PO BOX 68531
ORO VALLEY AZ
85737
US

V. Phone/Fax

Practice location:
  • Phone: 520-219-4450
  • Fax: 520-219-4624
Mailing address:
  • Phone: 520-219-4450
  • Fax: 520-219-4624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN105920
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25764
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN105920
License Number StateAZ

VIII. Authorized Official

Name: DR. NICHOLAS METZGER
Title or Position: PRESIDENT
Credential: MD
Phone: 520-219-4450