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Organization
CARONDELET MEDICAL GROUP, INC
Active
Organization
CARONDELET MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEB S MOHESKY (EVP/CFO)
(520) 872-7745
Entity
Organization
Contact information
Practice address
1209 W. TARGET RANGE RD., NOGALES, AZ 85621
(520) 287-4747
(520) 285-3135
Mailing address
2202 N. FORBES BLVD., TUCSON, AZ 85745
(520) 872-7536
(520) 872-7929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/01/2006
Last updated
02/22/2012
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