Individual
MR. TOM CHINQUAPIN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1-111A MAIL CODE, 3601 S. 6TH AVE., TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-4641
Mailing address
1-111A MAIL CODE, 3601 S. 6TH AVE., TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-4641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1139
AZ
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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