# WEST AJO MEDICAL CENTER LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124326558
- **Authorized official:** DR. ALBERT ROBERT FRITZ III D.O. (OWNER/SOLE PROPRIETOR)
- **Authorized official phone:** (520) 573-0993

## Contact information

- **Practice address:** 101 W AJO WAY, TUCSON, AZ 85713-6036
- **Practice address phone:** (520) 573-0993
- **Practice address fax:** (520) 573-0440
- **Mailing address:** 101 W AJO WAY, TUCSON, AZ 85713-6036
- **Mailing address phone:** (520) 573-0993
- **Mailing address fax:** (520) 573-0440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1951 | AZ | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 03/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0004660256 | AETNA | AZ |
| 01 | — | 10458 | PACIFICARE | AZ |
| 01 | — | 1992894380 | UNITED HEALTH CARE | AZ |
| 01 | — | AZ0060530 | BLUE CROSS/BLUE SHIELD | AZ |