Individual
DR. JOSE ANTONIO CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 E. GRANT RD, TUCSON, AZ 85712
(520) 342-5096
Mailing address
10211 N ORACLE RD, ORO VALLEY, AZ 85737-9465
(520) 618-1630
(520) 618-1636
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
S
TX
207R00000X
Internal Medicine Physician
Primary
R76146
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R76146
—
AZ
Enumeration date
06/18/2017
Last updated
02/23/2022
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