Organization
TUCSON LONG TERM CARE MEDICAL GROUP
Active
Organization
TUCSON LONG TERM CARE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M BOLHACK MD (MEDICAL DIRECTOR)
(520) 615-6200
Entity
Organization
Contact information
Practice address
1775 E SKYLINE DR, STE 101, TUCSON, AZ 85718-1162
(520) 615-6200
(520) 615-6255
Mailing address
1775 E SKYLINE DR, STE 101, TUCSON, AZ 85718-1162
(520) 615-6200
(520) 615-6255
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NONE
AZ
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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