Healthcare Provider Details
I. General information
NPI: 1295932416
Provider Name (Legal Business Name): VELO MED URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/29/2007
Last Update Date: 06/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2404 E RIVER ROAD SUITE 251
TUCSON AZ
85718
US
IV. Provider business mailing address
2404 E RIVER ROAD SUITE 251
TUCSON AZ
85718
US
V. Phone/Fax
- Phone: 520-298-9887
- Fax: 520-298-9887
- Phone: 520-298-9887
- Fax: 520-298-9887
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 4568 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | OTC5098 |
| License Number State | AZ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
J
ORRINGER
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: DO
Phone: 520-298-9887