MEDICARE: SCOTT M BOLHACK MD

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	20393	AZ
2	208000000X	Pediatrics Physician	20393	AZ

General Provider Information

NPI Number	:	1730160573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT M BOLHACK MD

Provider Business Mailing Address
First Line	:	2850 NORTH COUNTRY CLUB ROAD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1910
Country	:	US
Telephone Number	:	520-322-6274
Fax Number	:	520-509-4496

Provider Business Practice Location Address
First Line	:	5130 NORTH CIRCULO SOBRIO
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-6036
Country	:	US
Telephone Number	:	520-670-0745
Fax Number	:	520-509-4496

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	03/22/2019

Similar Medicare Providers

1720157464 — TLC HEALTHCARE MEDICAL GROUP PC
Practice Location Address:

5130 NORTH CIRCULO SOBRIO
TUCSON, AZ
85718-6036

Practice Phone: 520-670-0745
Practice Fax: 520-509-4496

1699918235 — TLC HEALTHCARE WOUND SPECIALISTS INC
Practice Location Address:

5130 N CIRCULO SOBRIO
TUCSON, AZ
85718-6036

Practice Phone: 520-670-0745
Practice Fax: 520-509-4496

1124326558 — WEST AJO MEDICAL CENTER LTD.
Practice Location Address:

101 W AJO WAY
TUCSON, AZ
85713-6036

Practice Phone: 520-573-0993
Practice Fax: 520-573-0440

1679116545 — ALBERT R. FRITZ III D.O. P.L.L.C.
Practice Location Address:

101 W AJO WAY
TUCSON, AZ
85713-6036

Practice Phone: 520-573-0993
Practice Fax: 520-573-0440

1831709302 — NAMPHUENG MCKAY
Practice Location Address:

165 W AJO WAY
TUCSON, AZ
85713-6036

Practice Phone: 520-573-7734
Practice Fax:

1962380196 — SONORAN WELLNESS PRIMARY CARE PLLC
Practice Location Address:

1760 E RIVER RD STE 135
TUCSON, AZ
85718-5988

Practice Phone: 520-542-2654
Practice Fax: 520-526-1153

Directions to “ SCOTT M BOLHACK MD” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.