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Organization

UNIVERSITY OF ARIZONA

Active
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Organization

UNIVERSITY OF ARIZONA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANNE POSKUS (PROGRAM COORDINATOR)
(520) 626-7747
Entity
Organization

Contact information

Practice address
5926 N CAMPO ABIERTO, TUCSON, AZ 85718-3456
(954) 604-8013
Mailing address
5926 N CAMPO ABIERTO, TUCSON, AZ 85718-3456
(954) 604-8013

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
R72828
AZ
282N00000X
General Acute Care Hospital
Primary
R72828
AZ

Other

Enumeration date
07/12/2011
Last updated
07/12/2011
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