| Devereux Arizona - Pima Outpatient #2 | |
|
2502 N Dodge Blvd Suite 110 Tucson AZ 85716-2671 | |
| (520) 296-5551 | |
| Not Available |
| Full Name | Devereux Arizona - Pima Outpatient #2 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2502 N Dodge Blvd, Tucson, Arizona |
| Authorized Official Name and Position | Lane Martin-barker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6022831573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux Arizona - Pima Outpatient #2 11000 N Scottsdale Rd Suite 260 Scottsdale AZ 85254-6130 Ph: (520) 296-5551 | Devereux Arizona - Pima Outpatient #2 2502 N Dodge Blvd Suite 110 Tucson AZ 85716-2671 Ph: (520) 296-5551 |
| NPI Number | 1992171268 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 01/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992171268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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