Individual
DR. AMANDA VICTORIA BISLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7383 E TANQUE VERDE RD, TUCSON, AZ 85715-3475
(520) 318-3434
(520) 318-3435
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 318-3434
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50516
AZ
207R00000X
Internal Medicine Physician
R73220
AZ
Other
Enumeration date
06/19/2012
Last updated
06/30/2015
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