Individual
SAMUEL UWIMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5985 S TAPPEN DR, TUCSON, AZ 85706-0007
(520) 721-1887
(520) 721-0069
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 721-0069
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BH9753
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH9753
ARIZONA DEPT OF HEALTH SERVICES
AZ
Enumeration date
04/29/2024
Last updated
04/29/2024
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