Ironwood Gastroenterology Pllc | |
395 N Silverbell Rd Ste 265 Tucson AZ 85745-2714 | |
(520) 724-0559 | |
(520) 220-5115 |
Full Name | Ironwood Gastroenterology Pllc |
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Speciality | Internal Medicine |
Location | 395 N Silverbell Rd Ste 265, Tucson, Arizona |
Authorized Official Name and Position | Rizwan Safdar (OWNER) |
Authorized Official Contact | 5207223777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ironwood Gastroenterology Pllc Po Box 43100 Tucson AZ 85733-3100 Ph: (520) 724-0559 | Ironwood Gastroenterology Pllc 395 N Silverbell Rd Ste 265 Tucson AZ 85745-2714 Ph: (520) 724-0559 |
NPI Number | 1003031931 |
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Provider Enumeration Date | 04/16/2007 |
Last Update Date | 09/16/2024 |
Medicare PECOS PAC ID | 1759488463 |
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Medicare Enrollment ID | O20070515000062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003031931 | NPI | - | NPPES |
274981 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 27577 (Arizona) | Primary |
Provider Name | Rizwan Safdar |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982651857 PECOS PAC ID: 2769389832 Enrollment ID: I20040203000902 |
Provider Name | Elyse Hammett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831103159 PECOS PAC ID: 2466457932 Enrollment ID: I20060918000068 |
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