Individual
COLLEEN CAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 N ALVERNON WAY, STE 101, TUCSON, AZ 85711-1827
(520) 874-3500
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31397
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
793168
—
AZ
01
—
P00057287
RR MEDICARE
AZ
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
02/07/2006
Last updated
03/03/2025
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