Individual
NORA L ODISHO DOMIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724
(520) 626-3264
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
007221
AZ
207R00000X
Internal Medicine Physician
R2268
AZ
208000000X
Pediatrics Physician
R2268
AZ
Other
Enumeration date
05/13/2013
Last updated
07/26/2018
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