Individual
AMANDA S BACCHUS-MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6130 N LA CHOLLA BLVD STE 117, TUCSON, AZ 85741
(520) 207-7434
(520) 269-6897
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 327-0460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44203
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626390
—
AZ
Enumeration date
05/06/2011
Last updated
09/04/2018
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