Organization
WEST AJO MEDICAL CENTER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT ROBERT FRITZ III D.O. (OWNER/SOLE PROPRIETOR)
(520) 573-0993
Entity
Organization
Contact information
Practice address
101 W AJO WAY, TUCSON, AZ 85713-6036
(520) 573-0993
(520) 573-0440
Mailing address
101 W AJO WAY, TUCSON, AZ 85713-6036
(520) 573-0993
(520) 573-0440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004660256
AETNA
AZ
01
—
10458
PACIFICARE
AZ
01
—
1992894380
UNITED HEALTH CARE
AZ
01
—
AZ0060530
BLUE CROSS/BLUE SHIELD
AZ
Enumeration date
03/09/2011
Last updated
03/09/2011
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