Organization
DHHS-PHS, IHS TUCSON AREA, IHS TUCSON SAN XAVIER CLINIC
Active
Other names
SAN XAVIER CLINIC PMSSP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT PRIESSMAN B.A., M.B.A., C.P.M. (ACCOUNTING AND BUDGET OFFICER)
(520) 295-2427
Entity
Organization
Contact information
Practice address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2427
(520) 295-2611
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2427
(520) 295-2611
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213EP0504X
Public Medicine Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437157302
FACILITY NPI #
AZ
05
—
147133-03
—
AZ
05
—
706921-01
—
AZ
01
—
AZ0209620
BC/BSAZ PROV NO
AZ
Enumeration date
04/10/2006
Last updated
09/11/2025
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