Individual
NICOLAS ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 229-2657
Mailing address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 229-2657
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R75455
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476728
—
AZ
Enumeration date
04/26/2016
Last updated
06/27/2019
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