Healthcare Provider Details

I. General information

NPI: 1033358239
Provider Name (Legal Business Name): DEPARTMENT OF VETERANS AFFAIRS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5782 W CORTARO CROSSING DR
TUCSON AZ
85742-8128
US

IV. Provider business mailing address

5782 W CORTARO CROSSING DRIVE
TUCSON AZ
85742
US

V. Phone/Fax

Practice location:
  • Phone: 520-579-3835
  • Fax:
Mailing address:
  • Phone: 520-579-3835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. CLARISSA NONI GARCIA
Title or Position: SOCIAL WORKER
Credential: MSW
Phone: 520-579-3835