Individual
PHILIP OLONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
308
WY
363A00000X
Physician Assistant
Primary
3429
AZ
363AM0700X
Medical Physician Assistant
3429
AZ
363AS0400X
Surgical Physician Assistant
3429
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312204
BCBS
—
01
—
P00064194
RAILROAD MEDICARE
WY
Enumeration date
01/19/2006
Last updated
05/15/2024
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