Healthcare Provider Details

I. General information

NPI: 1427533462
Provider Name (Legal Business Name): SENDERO MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 E CAMP LOWELL DR
TUCSON AZ
85712-1256
US

IV. Provider business mailing address

4727 E CAMP LOWELL DR
TUCSON AZ
85712-1256
US

V. Phone/Fax

Practice location:
  • Phone: 520-600-4300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES FOX
Title or Position: PRINCIPAL
Credential: MD
Phone: 520-600-4300