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Individual

COLIN BAMFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-3500
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9208
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130009666
RR MEDICARE
AZ
05
205519
AZ
01
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
02/06/2006
Last updated
05/27/2008
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