# SOUTHWESTERN PHYSICIANS PC

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

## Provider details

- **NPI number:** 1831391127
- **Authorized official:** WARREN A GLUCK MD (PRESIDENT)
- **Authorized official phone:** (520) 885-2231

## Contact information

- **Practice address:** 6743 E CAMINO PRINCIPAL, TUCSON, AZ 85715-3905
- **Practice address phone:** (520) 885-2231
- **Practice address fax:** (520) 885-2471
- **Mailing address:** PO BOX 17689, TUCSON, AZ 85731-7689
- **Mailing address phone:** (520) 885-2231
- **Mailing address fax:** (520) 885-2471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 13085 | AZ | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 04/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 617524 | — | AZ |
| 01 | — | CJ3664 | MEDICARE RAILROAD | AZ |