Healthcare Provider Details

I. General information

NPI: 1083766828
Provider Name (Legal Business Name): TUCSON ENDOCRINE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5910 N LA CHOLLA BLVD
TUCSON AZ
85741-3535
US

IV. Provider business mailing address

PO BOX 43160
TUCSON AZ
85733-3160
US

V. Phone/Fax

Practice location:
  • Phone: 520-297-0404
  • Fax: 520-297-0436
Mailing address:
  • Phone: 520-297-0404
  • Fax: 520-297-0436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER D ZWART
Title or Position: PARTNER
Credential: M.D.
Phone: 520-297-0404