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NPI Code Detail

MEDICARE: JAMES E TOOLEY JR. DO, PC

MEDICARE:   JAMES E TOOLEY JR. DO, 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
1207Q00000XFamily Medicine Physician2341AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11Z7614OTHERAZHEALTHNET
21780929380OTHERAZ(NPI#2) GROUP NPI
3AZ0220420OTHERAZBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467531756
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E TOOLEY JR. DO, PC
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-954-7500
Fax Number : 702-266-8749
Provider Business Practice Location Address
First Line : 4730 E GRANT RD
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2703
Country : US
Telephone Number : 520-290-0300
Fax Number : 520-298-9230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 10/05/2022

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Directions to “ JAMES E TOOLEY JR. DO, PC” Practice Location

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