Organization
NEW PUEBLO MEDICINE PC
Active
Other names
Internal Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY I SELWYN MD (PRESIDENT)
(520) 290-0300
Entity
Organization
Contact information
Practice address
6365 E TANQUE VERDE RD 120, NEW PUEBLO MEDICINE PC, TUCSON, AZ 85715-3848
(520) 290-0300
(520) 298-9230
Mailing address
6365 E TANQUE VERDE RD 120, NEW PUEBLO MEDICINE PC, TUCSON, AZ 85715-3848
(520) 290-0300
(520) 298-9230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN8163
RR MEDICARE
AZ
Enumeration date
10/31/2006
Last updated
11/14/2007
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