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Organization
TRINITY PROCARE
Active
Organization
TRINITY PROCARE
Active
Parent organization
TRINITY PROCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY PROCARE
Authorized official
DR. JASON COREY BULLARD M.D. (PRESIDENT)
(928) 273-7501
Entity
Organization
Contact information
Practice address
6930 N POLARIS PL, TUCSON, AZ 85741-2435
(928) 273-7501
Mailing address
2752 S STEWART AVE, SPRINGFIELD, MO 65804-3859
(602) 531-1658
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
102091
CA
175L00000X
Homeopath
102091
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H-102091
CA
251E00000X
Home Health Agency
102091
CA
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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