Organization
ARIZONA STATE RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE B REBEIL-DE LA ROSA MD (VICE PRES)
(520) 722-8994
Entity
Organization
Contact information
Practice address
2492 E RIVER RD, TUCSON, AZ 85718-9552
(520) 722-8994
(520) 624-0117
Mailing address
2492 E RIVER RD, TUCSON, AZ 85718-9552
(520) 722-8994
(520) 624-0117
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005886
—
AZ
Enumeration date
05/16/2006
Last updated
03/04/2016
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