Organization
COLLABORATIVE MEDICAL PROVIDER GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY AGINS NP (SOLE MEMBER)
(602) 867-1302
Entity
Organization
Contact information
Practice address
8300 N WESTCLIFF DR, TUCSON, AZ 85743-1043
(602) 867-1302
(602) 867-4247
Mailing address
8300 N WESTCLIFF DR, TUCSON, AZ 85743-1043
(602) 867-1302
(602) 867-4247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2311
AZ
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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