Individual
JEFFREY I SELWYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5255 E WILLIAMS CIR STE 2020, TUCSON, AZ 85711-7454
(520) 392-8400
(520) 393-3244
Mailing address
2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
(702) 910-3950
(702) 778-2264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7825
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000167
CIGNA
—
01
—
110046359
RR MEDICARE
—
01
—
1Z7528
HEALTHNET
—
01
—
658936
UNITED HEALTHCARE
—
01
—
98982
PACIFICARE/SECURE HORIZNS
—
01
—
AZ0056650
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/01/2005
Last updated
02/19/2019
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