Organization
SOUTHERN ARIZONA EAR NOSE & THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA FREDRICKS (OFFICE MANAGER)
(520) 792-2170
Entity
Organization
Contact information
Practice address
1775 W SAINT MARYS RD, SUITE 211, TUCSON, AZ 85745-2696
(520) 792-2170
(520) 792-9702
Mailing address
1775 W SAINT MARYS RD, SUITE 211, TUCSON, AZ 85745-2696
(520) 792-2170
(520) 792-9702
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
05/21/2006
Last updated
07/30/2008
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