Organization
COMPASS VIDA LIBRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIA O'NEILL (INTERIM CEO)
(520) 882-5608
Entity
Organization
Contact information
Practice address
2950 N DODGE BLVD, TUCSON, AZ 85716-2012
(520) 624-5272
Mailing address
2475 N JACKRABBIT AVE, TUCSON, AZ 85745-1208
(520) 882-5608
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592594
—
AZ
Enumeration date
11/06/2006
Last updated
08/22/2020
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