Organization
WIREGRASS IUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILSA LOPES (EA)
(520) 547-4115
Entity
Organization
Contact information
Practice address
6339 E SPEEDWAY BLVD, TUCSON, AZ 85710-1147
(520) 547-4115
Mailing address
6339 E SPEEDWAY BLVD, TUCSON, AZ 85710-1147
(520) 547-4115
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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