Organization
OLD PUEBLO PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RAY BEAN M. D (PRESIDENT)
(520) 797-7070
Entity
Organization
Contact information
Practice address
3043 W INA RD STE 115, TUCSON, AZ 85741-2107
(520) 797-7070
(520) 797-7077
Mailing address
7320 N LA CHOLLA BLVD # 154-501, TUCSON, AZ 85741-2309
(520) 797-7070
(520) 797-7077
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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