Organization
PASCUA YAQUI TRIBE
Active
Other names
Health Services Division I
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GUERRERO (DELEGATED OFFICIAL)
(520) 879-6039
Entity
Organization
Contact information
Practice address
7490 S CAMINO DE OESTE, TUCSON, AZ 85746, TUCSON, AZ 85746-9308
(520) 879-6039
Mailing address
7490 S CAMINO DE OESTE, TUCSON, AZ 85746, TUCSON, AZ 85746-9308
(520) 879-6039
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173650
—
AZ
Enumeration date
08/29/2024
Last updated
05/14/2025
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