Organization
WESTERN PHYSIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WICK MD (OWNER/PRESIDENT)
(520) 471-3764
Entity
Organization
Contact information
Practice address
1921 W HOSPITAL DR, TUCSON, AZ 85704-7806
(520) 742-2800
Mailing address
658 W TREMOLO LN, ORO VALLEY, AZ 85737-3771
(520) 471-3764
(520) 329-8650
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
26973
AZ
Other
Enumeration date
09/28/2014
Last updated
11/21/2014
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