| Canyon Ranch | |
|
8600 E Rockcliff Rd Tucson AZ 85750-9733 | |
| (520) 749-9655 | |
| (520) 749-0662 |
| Full Name | Canyon Ranch |
|---|---|
| Speciality | Clinic/center |
| Location | 8600 E Rockcliff Rd, Tucson, Arizona |
| Authorized Official Name and Position | Henry P Dittmer (SENIOR VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 5207499655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Ranch 8600 E Rockcliff Rd Tucson AZ 85750-9733 Ph: (520) 749-9655 | Canyon Ranch 8600 E Rockcliff Rd Tucson AZ 85750-9733 Ph: (520) 749-9655 |
| NPI Number | 1649762238 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649762238 | NPI | - | NPPES |
| OTC8497 | Other | AZ | ARIZONA OUTPATIENT TREATMENT CENTER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OTC8497 (Arizona) | Primary |
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