Organization
ARIZONA DIGESTIVE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BRYAN HUDSON M.D. PH. D. (MEDICAL DIRECTOR)
(520) 742-4139
Entity
Organization
Contact information
Practice address
7566 N LA CHOLLA BLVD, TUCSON, AZ 85741-2307
(520) 547-5847
(520) 742-9618
Mailing address
7566 N LA CHOLLA BLVD, TUCSON, AZ 85741-2307
(520) 547-5847
(520) 742-9618
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7686428
AETNA
AZ
05
—
906555
—
AR
05
—
906555
—
AZ
01
—
AZ0208470
BLUE CROSS BLUE SHIELD
AZ
01
—
IZ0160
HEALTHNET
AZ
Enumeration date
12/26/2005
Last updated
02/28/2008
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