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Individual

DR. DEMARETTA SICKELS RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-3003
(520) 626-8114
Mailing address
COLLEGE OF MEDICINE DEPARTMENT OF PATHOLOGY, TUCSON, AZ 85724-5108

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
54092
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME86848
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269893500
FL
Enumeration date
06/14/2006
Last updated
11/21/2017
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