Organization
MESQUITE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M COUCHMAN MD (VP)
(520) 648-5437
Entity
Organization
Contact information
Practice address
2350 N KIBLER PL, SUITE 1, TUCSON, AZ 85712-2100
(520) 648-5437
(520) 648-5438
Mailing address
PO BOX 43100, TUCSON, AZ 85733-3100
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24492
AZ
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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