Organization
INFECTIOUS DISEASE CONSULTANTS PLLC
Active
Organization
INFECTIOUS DISEASE CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON TODD MARTIN THORN M.D. (OWNER)
(520) 229-3300
Entity
Organization
Contact information
Practice address
2001 W ORANGE GROVE RD, SUITE 404, TUCSON, AZ 85704-1139
(520) 989-0226
(520) 989-3798
Mailing address
PO BOX 16125, TUCSON, AZ 85732-6125
(520) 989-0226
(520) 989-3798
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711418
—
AZ
Enumeration date
05/01/2012
Last updated
02/14/2013
Update your record
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