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Individual

STANLEY W. COULTHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1980 W HOSPITAL DR, SUITE 111, TUCSON, AZ 85704-7802
(520) 575-1272
(520) 575-1787
Mailing address
6565 E CARONDELET DR, SUITE 300, TUCSON, AZ 85710-2157
(520) 296-8500
(520) 733-2389

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9899
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204529
AZ
Enumeration date
05/04/2006
Last updated
07/08/2007
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