MEDICARE: CHRISTIAN O TWISS 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	208800000X	Urology Physician	A93843	AZ
2	2088F0040X	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	A93843	AZ

General Provider Information

NPI Number	:	1770505836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN O TWISS MD

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE BOX 245077
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-5077
Country	:	US
Telephone Number	:	520-626-6895
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N CAMPBELL AVE BLDG 2
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-1454
Country	:	US
Telephone Number	:	520-694-4032
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	03/12/2025

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