Individual
ELLIOTT HENRIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-7747
Mailing address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R81613
AZ
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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