Individual
CHRISTINE NICOLE EPPELHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Mailing address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R72096
AZ
2085B0100X
Body Imaging Physician
45179
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
45179
AZ
2085R0202X
Diagnostic Radiology Physician
R72096
AZ
2085U0001X
Diagnostic Ultrasound Physician
45179
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005472
GROUP MEDICAID ID NUMBER
AZ
01
—
1841261989
GROUP NPI
AZ
05
—
254364
—
AZ
Enumeration date
06/08/2010
Last updated
07/21/2022
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