Steven B Wallach Do | |
3005 W Ina Rd Suite 123 Tucson AZ 85741-2107 | |
(520) 575-9110 | |
(520) 575-8033 |
Full Name | Steven B Wallach Do |
---|---|
Speciality | Family Medicine |
Location | 3005 W Ina Rd, Tucson, Arizona |
Authorized Official Name and Position | Steven B Wallach (SOLE PROPRIETOR) |
Authorized Official Contact | 5205759110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Steven B Wallach Do 3005 W Ina Rd Suite 123 Tucson AZ 85741-2107 Ph: (520) 575-9110 | Steven B Wallach Do 3005 W Ina Rd Suite 123 Tucson AZ 85741-2107 Ph: (520) 575-9110 |
NPI Number | 1376660241 |
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Provider Enumeration Date | 03/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376660241 | NPI | - | NPPES |
260703 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2113 (Arizona) | Primary |
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