Individual
DR. BRENT TOLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 S HOUGHTON RD, TUCSON, AZ 85748-7632
(520) 543-6100
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75055
AZ
207L00000X
Anesthesiology Physician
BP10039725
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350290801
—
TX
01
—
75-2616977-042
TRICARE
TX
01
—
8FG415
BCBS
TX
01
—
P01536088
RAIL ROAD
TX
Enumeration date
06/13/2011
Last updated
11/19/2024
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