Healthcare Provider Details

I. General information

NPI: 1306817325
Provider Name (Legal Business Name): PATRICK PRICE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W VALENCIA RD STE 110
TUCSON AZ
85746-6006
US

IV. Provider business mailing address

4801 E BROADWAY BLVD STE 251
TUCSON AZ
85711-3633
US

V. Phone/Fax

Practice location:
  • Phone: 520-751-3312
  • Fax: 520-547-5785
Mailing address:
  • Phone: 520-327-0460
  • Fax: 520-795-0225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number15536
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number44266
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: