Organization
REFORM PHYSICIANS LLC
Active
Organization
REFORM PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN KANAKA MBA (BILLING MANAGER)
(480) 225-3065
Entity
Organization
Contact information
Practice address
1702 W ANKLAM RD STE 111, TUCSON, AZ 85745-2606
(520) 749-3031
(240) 252-5668
Mailing address
5216 N SABINO HILLS DR, TUCSON, AZ 85749-7120
(520) 429-4043
(602) 864-1401
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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