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Organization

ELIZABETH E WACK MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH E WACK MD (CHAIRMAN OF THE BOARD)
(520) 575-6944
Entity
Organization

Contact information

Practice address
2055 W HOSPITAL DR, SUITE 175, TUCSON, AZ 85704
(520) 575-6944
(520) 575-1115
Mailing address
2055 W HOSPITAL DR, SUITE 175, TUCSON, AZ 85704
(520) 575-6944
(520) 575-1115

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14736
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266446
AZ
Enumeration date
03/16/2007
Last updated
08/22/2020
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