Organization
TUCSON GASTROENTEROLOGY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. MCNERNEY JR. M.D. (MEDICAL DIRECTOR)
(520) 327-3454
Entity
Organization
Contact information
Practice address
3040 N. SWAN ROAD, STE. A, TUCSON, AZ 85712
(520) 327-3454
(520) 795-4492
Mailing address
3040 N. SWAN ROAD, STE. A, TUCSON, AZ 85712
(520) 327-3454
(520) 795-4492
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
OSC-2781
AZ
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562430
—
AZ
Enumeration date
07/06/2005
Last updated
07/15/2013
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