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Organization
SOUTHWESTERN PHYSICIANS PC
Active
Organization
SOUTHWESTERN PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN A GLUCK MD (PRESIDENT)
(520) 885-2231
Entity
Organization
Contact information
Practice address
6743 E CAMINO PRINCIPAL, TUCSON, AZ 85715-3905
(520) 885-2231
(520) 885-2471
Mailing address
PO BOX 17689, TUCSON, AZ 85731-7689
(520) 885-2231
(520) 885-2471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13085
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
617524
—
AZ
01
—
CJ3664
MEDICARE RAILROAD
AZ
Enumeration date
05/31/2007
Last updated
04/09/2015
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