# UNIVERSITY OF ARIZONA

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

## Provider details

- **NPI number:** 1649616566
- **Authorized official:** TAMMY UMSTOTT (PROGRAM COORDINATOR, DEPT. OF PATH.)
- **Authorized official phone:** (520) 626-6830

## Contact information

- **Practice address:** 210 E 2ND ST, \#2, TUCSON, AZ 85705-7773
- **Practice address phone:** (814) 602-0167
- **Mailing address:** 210 E 2ND ST, \#2, TUCSON, AZ 85705-7773
- **Mailing address phone:** (814) 602-0167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | R73832 | AZ | Yes |

## Other

- **Enumeration date:** 05/19/2013
- **Last updated:** 05/19/2013