| Michael Killebrew | |
|
63675 E Saddlebrooke Blvd Ste. M Tucson AZ 85739-1297 | |
| (520) 818-6732 | |
| (520) 818-7824 |
| Full Name | Michael Killebrew |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 63675 E Saddlebrooke Blvd, Tucson, Arizona |
| Authorized Official Name and Position | Michael J Killebrew (PRESIDENT) |
| Authorized Official Contact | 5204014191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Killebrew 8753 E Honeybear Pl Tucson AZ 85749-8202 Ph: (520) 401-4191 | Michael Killebrew 63675 E Saddlebrooke Blvd Ste. M Tucson AZ 85739-1297 Ph: (520) 818-6732 |
| NPI Number | 1710001797 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710001797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2339 (Arizona) | Primary |
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