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Organization
UNIVERSITY OF ARIZONA
Active
Organization
UNIVERSITY OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SAMSON (PROGRAM COORDINATOR)
(520) 626-4657
Entity
Organization
Contact information
Practice address
1501 N CAMPBELL AVE RM 3335, TUCSON, AZ 85724-3450
(541) 790-1110
Mailing address
1501 N CAMPBELL AVE RM 3335, P.O. BOX 245073, TUCSON, AZ 85724-3450
(520) 626-4657
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
R72586
AZ
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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