Organization
TUCSON MUSCULOSKELETAL LLC
Active
Other names
Tucson Orthopaedic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART KATZ FACHE (CHIEF EXECUTIVE OFFICER)
(520) 324-3917
Entity
Organization
Contact information
Practice address
2424 N WYATT DR, #160, TUCSON, AZ 85712-6115
(520) 324-3922
(520) 324-3096
Mailing address
PO BOX 13186, TUCSON, AZ 85732-3186
(520) 324-3922
(520) 324-3096
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC-3143
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7290
HEALTH NET OF AZ
AZ
05
—
745078
—
AZ
01
—
A20208050
BCBS OF AZ
AZ
Enumeration date
08/10/2005
Last updated
08/22/2020
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