Organization
DA LEGACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY FITZGERALD HENRY II (OWNER)
(520) 475-7791
Entity
Organization
Contact information
Practice address
899 N WILMOT RD STE D5, TUCSON, AZ 85711
(520) 475-7791
Mailing address
899 N WILMOT RD STE D5, TUCSON, AZ 85711
(520) 475-7791
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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