Organization
ARIZONA DIGESTIVE INSTITUTE LLC
Active
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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