Individual
IVAN SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(910) 922-5612
Mailing address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70621
AZ
Other
Enumeration date
05/07/2020
Last updated
05/06/2024
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