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Individual

DR. GARRETT SHANE PACHECO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-0111
Mailing address
1609 N WARREN AVE, TUCSON, AZ 85719-3761

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R72885
AZ
208000000X
Pediatrics Physician
R72885
AZ

Other

Enumeration date
07/24/2011
Last updated
07/24/2011
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