Organization
UNIVERSITY OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE POSKUS (PROGRAM COORDINATOR)
(520) 626-7747
Entity
Organization
Contact information
Practice address
5926 N CAMPO ABIERTO, TUCSON, AZ 85718-3456
(954) 604-8013
Mailing address
5926 N CAMPO ABIERTO, TUCSON, AZ 85718-3456
(954) 604-8013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
R72828
AZ
282N00000X
General Acute Care Hospital
Primary
R72828
AZ
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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