Individual
DR. FANNY ROSE BANGOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7105 N LA CHOLLA BLVD, TUCSON, AZ 85741-3112
(520) 547-0611
(520) 547-0616
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 382-1085
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44506
AZ
Other
Enumeration date
07/12/2008
Last updated
08/20/2020
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