| Kino Physicians Group | |
|
2800 E Ajo Way Tucson AZ 85713-6204 | |
| (520) 874-3500 | |
| (520) 874-7048 |
| Full Name | Kino Physicians Group |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2800 E Ajo Way, Tucson, Arizona |
| Authorized Official Name and Position | Tanya Casares (CREDENTIALING LIAISON) |
| Authorized Official Contact | 5208744135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kino Physicians Group 2701 E Elvira Rd Tucson AZ 85756-7124 Ph: (520) 874-4135 | Kino Physicians Group 2800 E Ajo Way Tucson AZ 85713-6204 Ph: (520) 874-3500 |
| NPI Number | 1730141243 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730141243 | NPI | - | NPPES |
| DC6028 | Other | AZ | RR MEDICARE |
| 863771 | Medicaid | AZ | |
| 28426827 | Other | AZ | OTHER |
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