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NPI Code Detail

MEDICARE: CATALINA EAR, NOSE AND THROAT PC

MEDICARE: CATALINA EAR, NOSE AND THROAT 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
1231H00000XAudiologist
2237700000XHearing Instrument Specialist
3235Z00000XSpeech-Language Pathologist
4174400000XSpecialist

General Provider Information

NPI Number : 1881643526
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATALINA EAR, NOSE AND THROAT PC
Provider Business Mailing Address
First Line : 5910 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3535
Country : US
Telephone Number : 520-498-1800
Fax Number : 520-498-1400
Provider Business Practice Location Address
First Line : 5910 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3535
Country : US
Telephone Number : 520-498-1800
Fax Number : 520-498-1400
Authorized Official
Title or Position : PRESIDENT
Name : RANDALL SCOTT COHEN
Credential : MD
Telephone Number : 520-498-1800
Provider Enumeration Date : 05/09/2006
Last Update Date : 03/29/2010

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Directions to “CATALINA EAR, NOSE AND THROAT PC ” Practice Location

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