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Organization

CARONDELET MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTEN A CASTELLANO MBA (EXECUTIVE VICE PRESIDENT, CHIEF STR)
(520) 872-7638
Entity
Organization

Contact information

Practice address
2202 N. FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7790
(520) 872-7929
Mailing address
2202 N. FORBES BLVD, TUCSON, AZ 85745-1412
(520) 872-7790
(520) 872-7929

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
AZ
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207VG0400X
Gynecology Physician
208000000X
Pediatrics Physician
213ES0131X
Foot Surgery Podiatrist
363AM0700X
Medical Physician Assistant
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
653298
AZ
Enumeration date
05/22/2006
Last updated
06/27/2013
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