| Santa Cruz Valley Physician Group Llc | |
|
4455 S I 19 Frontage Rd Green Valley AZ 85614-5884 | |
| (520) 393-4700 | |
| (520) 393-4923 |
| Full Name | Santa Cruz Valley Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4455 S I 19 Frontage Rd, Green Valley, Arizona |
| Authorized Official Name and Position | Zamia Mosman (HEALTH PLAN RELATIONS) |
| Authorized Official Contact | 5204059687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Cruz Valley Physician Group Llc 4455 S I 19 Frontage Rd Green Valley AZ 85614-5884 Ph: (520) 393-4700 | Santa Cruz Valley Physician Group Llc 4455 S I 19 Frontage Rd Green Valley AZ 85614-5884 Ph: (520) 393-4700 |
| NPI Number | 1568943561 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568943561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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