Organization
SAGUARO SPECIALTY PHYSICIANS, LLC
Active
Other names
TMCOne
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BALSER (REVENUE CYCLE MANAGER)
(520) 324-4419
Entity
Organization
Contact information
Practice address
4881 E GRANT, SUITE 201, TUCSON, AZ 85712
(520) 324-4774
(520) 324-1406
Mailing address
P.O. BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100
(520) 324-2567
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
208600000X
Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
516559
—
AZ
Enumeration date
04/09/2010
Last updated
08/29/2016
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