Individual
DR. MAMTA C KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(543) 752-0626
Mailing address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R4526
AZ
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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