Organization
MADERA MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD B ROTH D.O. (PRESIDENT)
(520) 889-8879
Entity
Organization
Contact information
Practice address
100 E AJO WAY, TUCSON, AZ 85713-6105
(520) 889-8879
(520) 294-2911
Mailing address
100 E AJO WAY, TUCSON, AZ 85713-6105
(520) 889-8879
(520) 294-2911
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2224
AZ
Other
Enumeration date
02/15/2012
Last updated
06/19/2013
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