Consultants In Gastroenterology, Pc | |
1505 N Swan Rd 121 Tucson AZ 85712-4044 | |
(520) 795-3090 | |
(520) 795-3586 |
Full Name | Consultants In Gastroenterology, Pc |
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Speciality | Internal Medicine |
Location | 1505 N Swan Rd, Tucson, Arizona |
Authorized Official Name and Position | Fadi Deeb (OWNER) |
Authorized Official Contact | 5207953090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Consultants In Gastroenterology, Pc 1505 N Swan Rd 121 Tucson AZ 85712-4044 Ph: (520) 795-3090 | Consultants In Gastroenterology, Pc 1505 N Swan Rd 121 Tucson AZ 85712-4044 Ph: (520) 795-3090 |
NPI Number | 1619368891 |
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Provider Enumeration Date | 02/10/2015 |
Last Update Date | 02/18/2020 |
Medicare PECOS PAC ID | 9133425903 |
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Medicare Enrollment ID | O20160304001732 |
Identifier | Type | State | Issuer |
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1619368891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | 38120 (Arizona) | Primary |
Provider Name | Charles L Krone |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497899173 PECOS PAC ID: 4284611328 Enrollment ID: I20040706001332 |
Provider Name | Jaya H Maddur |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1316038136 PECOS PAC ID: 7618997123 Enrollment ID: I20051129000877 |
Provider Name | Bassel Kisso |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1093918302 PECOS PAC ID: 5597856336 Enrollment ID: I20070808000082 |
Provider Name | Fadi Deeb |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1497729248 PECOS PAC ID: 5496758062 Enrollment ID: I20080603000221 |
Provider Name | Bechara Mezher |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598751794 PECOS PAC ID: 7911184379 Enrollment ID: I20110613000038 |
Provider Name | Catherynne Morgan |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1346444148 PECOS PAC ID: 8123280047 Enrollment ID: I20120510000019 |
Provider Name | Lisa A Musacchia |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1831120864 PECOS PAC ID: 8224073648 Enrollment ID: I20170329001732 |
Provider Name | Alison Erway-brewer |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1548243132 PECOS PAC ID: 7517923576 Enrollment ID: I20180122003247 |
Provider Name | Lana D Fretz-mason |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568960466 PECOS PAC ID: 0749544674 Enrollment ID: I20210125003086 |
Provider Name | Carly M Asolas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780337907 PECOS PAC ID: 1052706793 Enrollment ID: I20220316002746 |
Provider Name | Stephanie L Pettis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124756218 PECOS PAC ID: 1254717671 Enrollment ID: I20221007000680 |
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