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NPI Code Detail

MEDICARE: AGC PLUS

MEDICARE: AGC PLUS
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
1208800000XUrology Physician

General Provider Information

NPI Number : 1770298556
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGC PLUS
Provider Business Mailing Address
First Line : 6226 E PIMA ST STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85712-7003
Country : US
Telephone Number : 520-333-4468
Fax Number :
Provider Business Practice Location Address
First Line : 6226 E PIMA ST STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85712-7003
Country : US
Telephone Number : 520-333-4468
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : LUCIANA CORICA
Credential :
Telephone Number : 520-333-4468
Provider Enumeration Date : 01/17/2023
Last Update Date : 12/31/2025

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Directions to “AGC PLUS ” 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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