MEDICARE: ARIZONA COMMUNITY PHYSICIAN PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QR0200X	Radiology Clinic/Center
2	261QR0206X	Mammography Clinic/Center
3	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1922141902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA COMMUNITY PHYSICIAN PC

Provider Business Mailing Address
First Line	:	5055 E BROADWAY BLVD
Second Line	:	A100
City	:	TUCSON
State	:	AZ
Zip	:	85711-3640
Country	:	US
Telephone Number	:	520-327-0460
Fax Number	:	520-795-0225

Provider Business Practice Location Address
First Line	:	6270 E GRANT RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-5831
Country	:	US
Telephone Number	:	520-298-1138
Fax Number	:	520-298-1213

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. LARRY M. LEVEY
Credential	:
Telephone Number	:	520-547-4918

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	09/11/2025

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