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Individual

WENDY T KATZENSTEIN-TUCCILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 COVE PKWY, COTTONWOOD, AZ 86326-4644
(928) 649-3003
(928) 649-3030
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29432
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
577760
AHCCCS
AZ
Enumeration date
12/14/2006
Last updated
01/30/2018
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