Organization
FOOTHILLS SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M BCAUVAIS (BILLING MANAGER)
(520) 320-1200
Entity
Organization
Contact information
Practice address
4530 E. CAMP LOWELL ROAD, TUCSON, AZ 85712
(520) 320-1200
(520) 320-1222
Mailing address
PO BOX 53587, PHOENIX, AZ 85072-3587
(520) 872-7634
(520) 872-7969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951899
—
AZ
Enumeration date
06/11/2007
Last updated
08/01/2008
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