MEDICARE: INFECTIOUS DISEASE OF ARIZONA PLLC

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	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1932574498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFECTIOUS DISEASE OF ARIZONA PLLC

Provider Business Mailing Address
First Line	:	1980 W HOSPITAL DR STE 210
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-7804
Country	:	US
Telephone Number	:	520-989-0226
Fax Number	:

Provider Business Practice Location Address
First Line	:	1980 W HOSPITAL DR STE 210
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-7804
Country	:	US
Telephone Number	:	520-989-0226
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	SHANNON THORN
Credential	:	MD
Telephone Number	:	520-989-0226

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	06/17/2026

Similar Medicare Providers

1326036757 — DR. JULIA V SALMON M.D.
Practice Location Address:

1980 W HOSPITAL DR STE 210
TUCSON, AZ
85704-7804

Practice Phone: 520-989-0226
Practice Fax: 520-989-3798

1811635121 — MR. DAVID ANAYA HADE
Practice Location Address:

1980 W HOSPITAL DR STE 201
TUCSON, AZ
85704-7804

Practice Phone: 520-792-2170
Practice Fax:

1972323178 — DR. STACEY BOUFFARD PH.D.
Practice Location Address:

412 E 4TH ST
TUCSON, AZ
85705-7804

Practice Phone: 520-360-2270
Practice Fax:

1093640237 — ERIN ELIZABETH TACK
Practice Location Address:

1625 W INA RD STE 109
TUCSON, AZ
85704-1975

Practice Phone: 520-363-6851
Practice Fax:

1225078660 — TIMOTHY KENT MCNICHOLS MD
Practice Location Address:

1631 W INA RD
TUCSON, AZ
85704-1985

Practice Phone: 520-585-5738
Practice Fax: 520-585-5843

1104321777 — PETER P MICHALAK MD
Practice Location Address:

1631 W INA RD
TUCSON, AZ
85704-1985

Practice Phone: 520-585-5738
Practice Fax: 520-585-5843

Directions to “INFECTIOUS DISEASE OF ARIZONA PLLC ” 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.