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Individual

ANA R TANASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10390 N LA CANADA DR STE 110, TUCSON, AZ 85737-7273
(520) 420-2110
Mailing address
1856 E INNOVATION PARK DR, ORO VALLEY, AZ 85755-1963
(520) 825-7111
(520) 818-1253

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
44828
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03120005
NY
05
666081
AZ
Enumeration date
06/28/2007
Last updated
09/21/2023
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