Organization
REX D COOLEY JR DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REX D COOLEY JR. DO (HEAD OF ORGANIZATION)
(520) 229-9600
Entity
Organization
Contact information
Practice address
1871 W ORANGE GROVE RD STE 135, TUCSON, AZ 85704-1289
(520) 229-9600
(520) 229-9601
Mailing address
1871 W ORANGE GROVE RD STE 135, TUCSON, AZ 85704-1289
(520) 229-9600
(520) 229-9601
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3733
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69970
MEDICARE GROUP
AZ
Enumeration date
01/29/2008
Last updated
01/29/2008
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