| Evan W Kligman M D P C | |
|
4635 E Fort Lowell Rd Tucson AZ 85712-1110 | |
| (520) 326-9355 | |
| (520) 795-1445 |
| Full Name | Evan W Kligman M D P C |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 4635 E Fort Lowell Rd, Tucson, Arizona |
| Authorized Official Name and Position | Evan W Kligman (OWNER PROVIDER) |
| Authorized Official Contact | 5207422200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan W Kligman M D P C 4635 E Fort Lowell Rd Tucson AZ 85712-1110 Ph: (520) 326-9355 | Evan W Kligman M D P C 4635 E Fort Lowell Rd Tucson AZ 85712-1110 Ph: (520) 326-9355 |
| NPI Number | 1942346267 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942346267 | NPI | - | NPPES |
| 127585 | Other | AZ | HEALTHNET |
| AZ0841483 | Other | AZ | BCBS |
| D80158421 | Other | RAILROAD MEDICARE | |
| 207317 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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