Individual
DR. PHILLIP J HOVERSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, MPH
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-5057
(520) 626-7233
Mailing address
1501 N CAMPBELL AVE, P.O. BOX 245057, TUCSON, AZ 85724-5057
(520) 626-7233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26852
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26852
UNIVERSITY OF ARIZONA
AZ
Enumeration date
06/23/2013
Last updated
07/19/2013
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