Organization
CARONDELET MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA URIBE (CREDENTIALING COORDINATOR)
(520) 872-7265
Entity
Organization
Contact information
Practice address
6274 E GRANT RD, TUCSON, AZ 85712-5831
(520) 296-8333
(520) 296-8444
Mailing address
6274 E GRANT RD, TUCSON, AZ 85712-5831
(520) 296-8333
(520) 296-8444
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0585
AZ
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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