Individual
DR. ELIZABETH E WACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 W. ORANGE GROVE RD, SUITE 404, TUCSON, AZ 85704
(520) 989-0226
(520) 989-3798
Mailing address
2001 W. ORANGE GROVE RD, SUITE 404, TUCSON, AZ 85704
(520) 989-0226
(520) 989-3798
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
14736
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266446
—
AZ
Enumeration date
10/11/2005
Last updated
02/15/2017
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