| Infectious Disease Consultants Pllc | |
|
2001 W Orange Grove Rd Suite 404 Tucson AZ 85704-1139 | |
| (520) 989-0226 | |
| (520) 989-3798 |
| Full Name | Infectious Disease Consultants Pllc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2001 W Orange Grove Rd, Tucson, Arizona |
| Authorized Official Name and Position | Shannon Todd Martin Thorn (OWNER) |
| Authorized Official Contact | 5202293300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants Pllc Po Box 16125 Tucson AZ 85732-6125 Ph: (520) 989-0226 | Infectious Disease Consultants Pllc 2001 W Orange Grove Rd Suite 404 Tucson AZ 85704-1139 Ph: (520) 989-0226 |
| NPI Number | 1356609077 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356609077 | NPI | - | NPPES |
| 711418 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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