Organization
UNIVERSITY OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE JACOBSEN M.D. (PROGRAM DIRECTOR)
(520) 626-7141
Entity
Organization
Contact information
Practice address
1501 N CAMPBELL AVE, ROOM 5301, TUCSON, AZ 85724-5085
(502) 626-7221
Mailing address
1501 N. CAMPBELL AVE. BOX, ROOM 5301; PO BOX 245114, TUCSON, AZ 85724-5085
(502) 626-7221
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R73212
AZ
Other
Enumeration date
05/14/2012
Last updated
06/10/2013
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