Organization
SANTA CRUZ VALLEY PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAMIA MOSMAN (HEALTH PLAN RELATIONS)
(520) 405-9687
Entity
Organization
Contact information
Practice address
4455 S I 19 FRONTAGE RD, GREEN VALLEY, AZ 85614-5884
(520) 393-4700
(520) 393-4923
Mailing address
4455 S I 19 FRONTAGE RD, GREEN VALLEY, AZ 85614-5884
(520) 393-4700
(520) 393-4923
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
04/14/2020
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