Individual
ORVILLE C NANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3704 E ELLINGTON PL, TUCSON, AZ 85713-4218
(520) 991-5906
(520) 423-3868
Mailing address
PO BOX 85658, TUCSON, AZ 85754-5658
(520) 991-5906
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073406
—
AZ
Enumeration date
07/12/2019
Last updated
07/12/2019
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