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NPI Code Detail

MEDICARE: ARIZONA COMMUNITY PHYSICIANS PC

MEDICARE: ARIZONA COMMUNITY PHYSICIANS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1225172349
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA COMMUNITY PHYSICIANS PC
Provider Business Mailing Address
First Line : 5055 E BROADWAY BLVD
Second Line : SUITE A100
City : TUCSON
State : AZ
Zip : 85711-3640
Country : US
Telephone Number : 520-327-0460
Fax Number : 520-795-0225
Provider Business Practice Location Address
First Line : 5265 E KNIGHT DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2147
Country : US
Telephone Number : 520-327-5911
Fax Number : 520-881-0060
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. LARRY M. LEVEY
Credential :
Telephone Number : 520-547-4918
Provider Enumeration Date : 02/20/2007
Last Update Date : 08/22/2020

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Directions to “ARIZONA COMMUNITY PHYSICIANS PC ” Practice Location

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