Individual
MARY JO RADELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
630 N ALVERNON WAY SUITE 251, CARONDELET MEDICAL GROUP, TUCSON, AZ 85711
(520) 322-8460
(520) 323-5742
Mailing address
2202 N FORBES BLVD, CARONDELET MEDICAL GROUP, TUCSON, AZ 85745
(520) 872-7265
(520) 872-7929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2064
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392712
—
AZ
Enumeration date
05/03/2006
Last updated
07/14/2009
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