Scott M Bolhack Md Pc | |
5130 North Circulo Sobrio Tucson AZ 85718-6036 | |
(520) 670-0745 | |
(520) 509-4496 |
Full Name | Scott M Bolhack Md Pc |
---|---|
Speciality | Family Medicine |
Location | 5130 North Circulo Sobrio, Tucson, Arizona |
Authorized Official Name and Position | Scott M Bolhack (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 5206700745 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Scott M Bolhack Md Pc 2850 North Country Club Road Tucson AZ 85716-1910 Ph: (520) 322-6274 | Scott M Bolhack Md Pc 5130 North Circulo Sobrio Tucson AZ 85718-6036 Ph: (520) 670-0745 |
NPI Number | 1720157464 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 03/22/2019 |
Medicare PECOS PAC ID | 2163336181 |
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Medicare Enrollment ID | O20031114000176 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720157464 | NPI | - | NPPES |
328958 | Medicaid | AZ |
Provider Name | Scott Bolhack |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730160573 PECOS PAC ID: 8426962424 Enrollment ID: I20040902000924 |
Provider Name | Deborah R Hotep |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043210057 PECOS PAC ID: 4981602109 Enrollment ID: I20061127000137 |
Provider Name | Kathryn M Tynan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508857095 PECOS PAC ID: 1658393640 Enrollment ID: I20080311000345 |
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