Individual
DR. JED SADALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
(520) 469-8014
(520) 469-8009
Mailing address
7580 N LA CHOLLA BLVD, TUCSON, AZ 85741-2307
(520) 547-2517
(520) 547-2518
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31309
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
778508
AHCCCS
AZ
01
—
8170936
MEDI-CAL PIN#
—
Enumeration date
07/04/2006
Last updated
01/11/2011
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