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Individual

STANLEY J SUFFECOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6325 E TANQUE VERDE RD, TUCSON, AZ 85715-3808
(520) 546-7137
(520) 885-7396
Mailing address
6325 E TANQUE VERDE RD, TUCSON, AZ 85715-3808
(520) 546-7137
(520) 885-7396

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
12584
AZ
208800000X
Urology Physician
Primary
12584
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
205618
AZ
Enumeration date
06/01/2005
Last updated
09/10/2014
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