Individual
DR. PRIDO JOSE POLANCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6060 N FOUNTAIN PLAZA DR STE 270, TUCSON, AZ 85704-7873
(520) 229-2578
(520) 229-2561
Mailing address
6060 N FOUNTAIN PLAZA DR STE 270, TUCSON, AZ 85704-7873
(520) 229-2578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74291
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2022
Last updated
07/29/2025
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