Individual
MS. TARA SELEAN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT, TUCSON, AZ 85712-2805
(520) 324-1922
(520) 324-1088
Mailing address
5700 E PIMA STREET, SUITE B, TUCSON, AZ 85712-5601
(520) 382-2819
(520) 382-2832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2575
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
773251
AHCCCS
AZ
05
—
773251-01
—
AZ
01
—
P00092177
RAILROAD MCR
—
Enumeration date
10/19/2006
Last updated
07/08/2007
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