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4881 E Grant Rd Ste 201 Tucson AZ 85712-2704 | |
| (520) 324-4100 | |
| (520) 324-1406 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 4881 E Grant Rd, Tucson, Arizona |
| Authorized Official Name and Position | Nicole Balser (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5203244419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
P.o. Box 31235 Tucson AZ 85751-1235 Ph: (520) 324-4100 | 4881 E Grant Rd Ste 201 Tucson AZ 85712-2704 Ph: (520) 324-4100 |
| NPI Number | 1356397921 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356397921 | NPI | - | NPPES |
| 310321 | Medicaid | AZ |
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