Organization
JOHN CLEMENT BIBOA , D.O
Active
Other names
University of Arizona/UPHH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD SZERLIP M.D (PROGRAM DIRECTOR)
(520) 874-4502
Entity
Organization
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-4502
Mailing address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-4502
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R1583
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104887199-0749
UPHH NPI
AZ
Enumeration date
01/13/2011
Last updated
01/14/2011
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