| Debra A. Kroack Md Pc | |
|
5679 E. Grant Road Tucson AZ 85712-2211 | |
| (520) 722-6003 | |
| (520) 751-2736 |
| Full Name | Debra A. Kroack Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5679 E. Grant Road, Tucson, Arizona |
| Authorized Official Name and Position | Debra A Kroack (PRESIDENT) |
| Authorized Official Contact | 5207226003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra A. Kroack Md Pc 5679 E. Grant Road Tucson AZ 85712-2211 Ph: (520) 722-6003 | Debra A. Kroack Md Pc 5679 E. Grant Road Tucson AZ 85712-2211 Ph: (520) 722-6003 |
| NPI Number | 1407116700 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 1153586250 |
|---|---|
| Medicare Enrollment ID | O20120622000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407116700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Debra A Kroack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033270079 PECOS PAC ID: 4486673738 Enrollment ID: I20051115001147 |
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