| Pueblo Medical Clinic | |
|
3535 S 12th Ave Tucson AZ 85713-5914 | |
| (520) 622-8384 | |
| Not Available |
| Full Name | Pueblo Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 3535 S 12th Ave, Tucson, Arizona |
| Authorized Official Name and Position | John Quentin Harris (PROVIDER) |
| Authorized Official Contact | 5206228384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pueblo Medical Clinic 3535 S 12th Ave Tucson AZ 85713-5914 Ph: (520) 622-8384 | Pueblo Medical Clinic 3535 S 12th Ave Tucson AZ 85713-5914 Ph: (520) 622-8384 |
| NPI Number | 1063280568 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063280568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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