Safe Harbor Psychiatry Llc | |
6280 E Pima St Ste 110 Tucson AZ 85712-3074 | |
(520) 298-7748 | |
(520) 300-7363 |
Full Name | Safe Harbor Psychiatry Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 6280 E Pima St Ste 110, Tucson, Arizona |
Authorized Official Name and Position | William R Reynolds (PRACTIONER/OWNER) |
Authorized Official Contact | 5204881776 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Safe Harbor Psychiatry Llc Po Box 733 Marana AZ 85653-0733 Ph: (520) 490-4956 | Safe Harbor Psychiatry Llc 6280 E Pima St Ste 110 Tucson AZ 85712-3074 Ph: (520) 298-7748 |
NPI Number | 1033818653 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 03/02/2023 |
Certification Date | 03/02/2023 |
Medicare PECOS PAC ID | 6204294705 |
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Medicare Enrollment ID | O20230615000377 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033818653 | NPI | - | NPPES |
737379 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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