Organization
THE UNIVERSITY OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY CLYDE RACEY M.D. (RESIDENT)
(423) 202-2680
Entity
Organization
Contact information
Practice address
1501 NORTH CAMPBELL AVWNUE, TUCSON, AZ 85721-0001
(520) 626-7233
Mailing address
3750 E VIA PALOMITA APT 15202, TUCSON, AZ 85718-3359
(423) 202-2680
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
81901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81901
ARIZONA MEDICAL BOARD
AZ
Enumeration date
03/10/2008
Last updated
03/10/2008
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