Organization
BROADWAY PROCEDURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MINCKLER MD (SOLE MEMBER)
(520) 800-6330
Entity
Organization
Contact information
Practice address
4834 E BROADWAY BLVD, TUCSON, AZ 85711-3610
(520) 800-6330
Mailing address
4834 E BROADWAY BLVD, TUCSON, AZ 85711-3610
(520) 800-6330
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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