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NPI Code Detail

MEDICARE: SOUTHERN ARIZONA INTERNAL MEDICINE PLLC

MEDICARE: SOUTHERN ARIZONA INTERNAL MEDICINE PLLC
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
1207R00000XInternal Medicine Physician12805AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275565509
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN ARIZONA INTERNAL MEDICINE PLLC
Provider Business Mailing Address
First Line : 5210 E FARNESS DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2140
Country : US
Telephone Number : 520-795-4100
Fax Number : 520-795-4224
Provider Business Practice Location Address
First Line : 5210 E FARNESS DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2140
Country : US
Telephone Number : 520-795-4100
Fax Number : 520-795-4224
Authorized Official
Title or Position : PRESIDENT
Name : STEVEN A WOOL
Credential : MD
Telephone Number : 520-795-4100
Provider Enumeration Date : 07/07/2006
Last Update Date : 08/17/2016

Similar Medicare Providers

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Practice Location Address:
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1851349575 — PHILLIP DENNIS CITRON MD
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1780789800 — STEVEN A WOOL MD
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1669569976 — ANN MARIE ROBINSON NP
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Directions to “SOUTHERN ARIZONA INTERNAL MEDICINE PLLC ” Practice Location

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