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NPI Code Detail

MEDICARE: SOUTHERN ARIZONA EAR NOSE & THROAT

MEDICARE: SOUTHERN ARIZONA EAR NOSE & THROAT
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
1207Y00000XOtolaryngology Physician

General Provider Information

NPI Number : 1437907052
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN ARIZONA EAR NOSE & THROAT
Provider Business Mailing Address
First Line : PO BOX 43100
Second Line :
City : TUCSON
State : AZ
Zip : 85733-3100
Country : US
Telephone Number : 520-675-7599
Fax Number : 520-482-0350
Provider Business Practice Location Address
First Line : 2120 W INA RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85741-5501
Country : US
Telephone Number : 520-675-7599
Fax Number : 520-482-0350
Authorized Official
Title or Position : OWNER
Name : ADAM D RAY
Credential : MD
Telephone Number : 520-675-7599
Provider Enumeration Date : 05/08/2024
Last Update Date : 05/08/2024

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Directions to “SOUTHERN ARIZONA EAR NOSE & THROAT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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