Individual
WALLACE M NOGAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-8888
(520) 626-6066
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21485
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050032961
RAILROAD MEDICARE
AZ
05
—
150326
—
AZ
Enumeration date
10/13/2006
Last updated
09/19/2008
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