Organization
PRESIDIO SURGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD RICHARD CARNAHAN M.D. (PRESIDENT)
(520) 219-9125
Entity
Organization
Contact information
Practice address
1925 W ORANGE GROVE RD, SUITE 101, TUCSON, AZ 85704-1143
(520) 219-9125
(520) 219-9130
Mailing address
1925 W ORANGE GROVE RD, SUITE 101, TUCSON, AZ 85704-1143
(520) 219-9125
(520) 219-9130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13209
AZ
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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