Individual
BONALI BARUA KAUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7070 N ORACLE RD, TUCSON, AZ 85704-4337
(520) 544-2300
Mailing address
2151 E BEDROCK LN, ORO VALLEY, AZ 85755-1919
(520) 271-6121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2783
AZ
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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