James E. Tooley Jr., D.o. , P.c. | |
2370 N Wyatt Dr Suite#100 Tucson AZ 85712-2119 | |
(520) 325-3033 | |
(520) 325-0093 |
Full Name | James E. Tooley Jr., D.o. , P.c. |
---|---|
Speciality | Family Medicine |
Location | 2370 N Wyatt Dr, Tucson, Arizona |
Authorized Official Name and Position | James E Tooley (OWNER/PHYSICIAN) |
Authorized Official Contact | 5203253033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
James E. Tooley Jr., D.o. , P.c. 2370 N Wyatt Dr Suite#100 Tucson AZ 85712-2119 Ph: (520) 325-3033 | James E. Tooley Jr., D.o. , P.c. 2370 N Wyatt Dr Suite#100 Tucson AZ 85712-2119 Ph: (520) 325-3033 |
NPI Number | 1780929380 |
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Provider Enumeration Date | 12/07/2012 |
Last Update Date | 01/17/2013 |
Medicare PECOS PAC ID | 2062665482 |
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Medicare Enrollment ID | O20130116000165 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780929380 | NPI | - | NPPES |
BCNVX | Other | AZ | MEDICARE |
1467531756 | Other | AZ | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2371 (Arizona) | Primary |
Provider Name | James E Tooley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467531756 PECOS PAC ID: 6406872639 Enrollment ID: I20051018000302 |
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