Organization
COCHISE LUNG CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIHAD GEORGES YOUSSEF M.D. (SOLE MEMBER)
(520) 417-0542
Entity
Organization
Contact information
Practice address
198 S CORONADO DR, SUITE A, SIERRA VISTA, AZ 85635-6354
(520) 417-0542
(520) 417-0581
Mailing address
PO BOX 30370, TUCSON, AZ 85751-0370
(520) 722-0777
(520) 290-9713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
188704
AZ
207RP1001X
Pulmonary Disease Physician
Primary
—
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
188704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525063
—
AZ
Enumeration date
04/29/2010
Last updated
06/29/2010
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