Organization
PEDIATRIC GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UWE BLECKER MD (PRESIDENT)
(520) 319-0313
Entity
Organization
Contact information
Practice address
5295 E KNIGHT DR, TUCSON, AZ 85712-2147
(520) 319-0313
(520) 319-0739
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 722-3777
(520) 296-6624
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
28542
AZ
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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