| Docs Arizona, P.c. | |
|
5405 E Granite St Bldg 2527 Tucson AZ 85707-3004 | |
| (267) 927-5000 | |
| Not Available |
| Full Name | Docs Arizona, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5405 E Granite St Bldg 2527, Tucson, Arizona |
| Authorized Official Name and Position | Amanda Anne Clark (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 2673625938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Docs Arizona, P.c. 1221 Vinewood Dr Seffner FL 33584-4829 Ph: (813) 451-4503 | Docs Arizona, P.c. 5405 E Granite St Bldg 2527 Tucson AZ 85707-3004 Ph: (267) 927-5000 |
| NPI Number | 1265195614 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265195614 | NPI | - | NPPES |
| D010291 | Other | AZ | LC LIC# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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