Healthcare Provider Details

I. General information

NPI: 1427027705
Provider Name (Legal Business Name): ANTHONY JOSEPH ARNOLD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 W SAINT MARYS RD STE 145
TUCSON AZ
85745-2683
US

IV. Provider business mailing address

1701 W SAINT MARYS RD STE 145
TUCSON AZ
85745-2683
US

V. Phone/Fax

Practice location:
  • Phone: 520-624-0888
  • Fax: 520-624-0091
Mailing address:
  • Phone: 520-624-0888
  • Fax: 520-624-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number23623
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number23623
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: