Organization
FAMILY WELLCARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS MEDINA (PRESIDENT)
(520) 867-8278
Entity
Organization
Contact information
Practice address
9420 E GOLF LINKS RD, #306, TUCSON, AZ 85730-1355
(520) 867-8278
Mailing address
9420 E GOLF LINKS RD, #306, TUCSON, AZ 85730-1355
(520) 867-8278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
09/16/2010
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