Organization
PORTABLE PRACTICAL EDUCATION PREPARATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID ARNOLD PH.D (CEO/FOUNDER)
(520) 622-3553
Entity
Organization
Contact information
Practice address
111 LA MINA AVE, ROOM 5, AJO, AZ 85321-2716
(520) 387-5232
(520) 387-5732
Mailing address
802 E 46TH ST, TUCSON, AZ 85713-5006
(520) 622-3553
(520) 622-1480
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
BH387
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134966
—
AZ
Enumeration date
09/20/2006
Last updated
08/22/2020
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