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General NPI Number Information
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NPI Number | 1003031931
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Entity Type | Organization
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Legal Business Name | IRONWOOD GASTROENTEROLOGY PLLC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 395 N SILVERBELL RD STE 265
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City | TUCSON
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State | AZ
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Zip | 85745-2714
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Country | US
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Telephone | 520-724-0559
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Fax | 520-220-5115
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Provider Business Mailing Address
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Address Line | PO BOX 43100
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City | TUCSON
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State | AZ
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Zip | 85733-3100
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Country | US
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Telephone | 520-724-0559
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Fax | 520-220-5115
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Authorized Official
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Title or Position | OWNER
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Name | RIZWAN SAFDAR
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Credential | MD
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Telephone | 520-722-3777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 27577
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License Number State | AZ
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