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Organization

REX D COOLEY JR DO PC

Active
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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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