| 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 |
|---|---|
| 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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