| Fountain Plaza Tucson | |
|
6060 N Fountain Plaza Dr Ste 140 Tucson AZ 85704-7874 | |
| (480) 712-4600 | |
| (480) 219-7138 |
| Full Name | Fountain Plaza Tucson |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 6060 N Fountain Plaza Dr Ste 140, Tucson, Arizona |
| Authorized Official Name and Position | Cindy Proffitt (DIRECTOR OF BILLING) |
| Authorized Official Contact | 4807124600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Plaza Tucson Po Box 20216 Phoenix AZ 85036-0216 Ph: (480) 712-4600 | Fountain Plaza Tucson 6060 N Fountain Plaza Dr Ste 140 Tucson AZ 85704-7874 Ph: (480) 712-4600 |
| NPI Number | 1427761055 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427761055 | NPI | - | NPPES |
| 1427421098 | Medicaid | AZ |
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