Organization
BANNER UMC DPEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRI PENDERGRASS M.D. (PHYSICIAN)
(520) 626-6376
Entity
Organization
Contact information
Practice address
3950 S COUNTRY CLUB ROAD, SUITE 130, TUCSON, AZ 85714
(520) 874-2000
(520) 874-4801
Mailing address
3950 S COUNTRY CLUB ROAD, 130, TUCSON, AZ 85714
(520) 874-2000
(520) 874-4801
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
942958258
AZ
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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