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
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1578608535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA COMMUNITY PHYSICIANS PC

Provider Business Mailing Address
First Line	:	5055 E BROADWAY BLVD STE A100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-3629
Country	:	US
Telephone Number	:	520-327-0460
Fax Number	:	520-795-0225

Provider Business Practice Location Address
First Line	:	6565 E CARONDELET DR
Second Line	:	SUITE 105
City	:	TUCSON
State	:	AZ
Zip	:	85710-2157
Country	:	US
Telephone Number	:	520-547-3919
Fax Number	:	520-547-3922

Authorized Official
Title or Position	:	CORPORATE COMPLIANCE DIRECTOR
Name	:	TRACY JOHNS
Credential	:
Telephone Number	:	520-327-0460

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	01/30/2026

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