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Individual

DR. MARK ESTES LUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8263 E PIMA ST, TUCSON, AZ 85715
(520) 298-3787
Mailing address
8263 E PIMA ST, TUCSON, AZ 85715
(520) 298-3787

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17726
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
310871
AZ
01
3981220
EVERCARE GRP #
AZ
01
A1U1436
HEALTHNET GRP #
AZ
01
AZ0728670
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/29/2005
Last updated
11/12/2007
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