Organization
FAMILY PRACTICE OUTREACH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIMI COSENTINO (DIRECT OF OPS)
(520) 631-9585
Entity
Organization
Contact information
Practice address
7739 E BROADWAY BLVD # 360, TUCSON, AZ 85710-3941
(520) 631-9585
Mailing address
7739 E BROADWAY BLVD # 360, TUCSON, AZ 85710-3941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
05/07/2008
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