Healthcare Provider Details

I. General information

NPI: 1144434119
Provider Name (Legal Business Name): REPRODUCTIVE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4518 E CAMP LOWELL DR
TUCSON AZ
85712-1282
US

IV. Provider business mailing address

4518 E CAMP LOWELL DR
TUCSON AZ
85712-1282
US

V. Phone/Fax

Practice location:
  • Phone: 520-733-0083
  • Fax: 520-733-0771
Mailing address:
  • Phone: 520-733-0083
  • Fax: 520-733-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberAZ23524
License Number StateAZ

VIII. Authorized Official

Name: HOLLY HUTCHISON
Title or Position: OWNER, MANAGER
Credential: MS
Phone: 520-733-0083