Organization
CARONDELET HEALTH NETWORK
Active
Other names
Carondelet Medical Mall At Rita Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM R PEPPING CFO (CHIEF FINANCIAL OFFIER)
(520) 872-7790
Entity
Organization
Contact information
Practice address
8290 SOUTH HOUGHTON ROAD, TUCSON, AZ 85747-9702
(520) 872-7700
Mailing address
2202 NORTH FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7700
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OTH-4226
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTH-4226
AZ STATE LICENSE
AZ
Enumeration date
08/23/2007
Last updated
03/14/2008
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