| Citymed Occupational & Family Health | |
|
4099 E 22nd St Ste 107 Tucson AZ 85711-5300 | |
| (520) 323-4661 | |
| (520) 319-1699 |
| Full Name | Citymed Occupational & Family Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 4099 E 22nd St Ste 107, Tucson, Arizona |
| Authorized Official Name and Position | Rinly R. Gecosala (PRESIDENT) |
| Authorized Official Contact | 5203234661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citymed Occupational & Family Health 4099 E 22nd St Ste 107 Tucson AZ 85711-5300 Ph: (520) 323-4661 | Citymed Occupational & Family Health 4099 E 22nd St Ste 107 Tucson AZ 85711-5300 Ph: (520) 323-4661 |
| NPI Number | 1154469138 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154469138 | NPI | - | NPPES |
| 258295 | Medicaid | AZ | |
| 464800 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27229 (Arizona) | Primary |
| 207R00000X | Internal Medicine | 10110 (Arizona) | Primary |
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