Individual
DR. MICHAEL J CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8826 E TANQUE VERDE RD, TUCSON, AZ 85749-9607
(520) 760-8972
(520) 760-3417
Mailing address
2202 N FORBES BLVD, TUCSON, AZ 85745-1412
(520) 760-8972
(520) 760-3417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3660
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577372
—
AZ
Enumeration date
12/02/2005
Last updated
07/21/2011
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