Organization
TLC HEALTHCARE MEDICAL GROUP PC
Active
Organization
TLC HEALTHCARE MEDICAL GROUP PC
Active
Other names
Scott M Bolhack MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M BOLHACK MD (OWNER/AUTHORIZED OFFICIAL)
(520) 670-0745
Entity
Organization
Contact information
Practice address
5130 NORTH CIRCULO SOBRIO, TUCSON, AZ 85718-6036
(520) 670-0745
(520) 509-4496
Mailing address
2850 NORTH COUNTRY CLUB ROAD, TUCSON, AZ 85716-1910
(520) 322-6274
(520) 509-4496
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
20393
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
20393
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328958
—
AZ
Enumeration date
11/07/2006
Last updated
03/22/2019
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