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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. CHRISTEN A CASTELLANO MBA (EXECUTIVE VICE PRESIDENT, CHIEF STR)
(520) 872-7638
Entity
Organization
Contact information
Practice address
2202 N. FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7790
(520) 872-7929
Mailing address
2202 N. FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7790
(520) 872-7929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
AZ
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
653298
—
AZ
Enumeration date
05/22/2006
Last updated
06/27/2013
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