Individual
ERIKA R BRACAMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 874-4135
(520) 874-7048
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-4135
(520) 874-7048
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
36183
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172281
—
AZ
01
—
36183
MD LICENSE
AZ
01
—
P00387430
RR MEDICARE
AZ
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
12/22/2006
Last updated
05/29/2008
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