Individual
DR. JON KENNETH NISBET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 E RIVER RD, TUCSON, AZ 85718-5831
(520) 321-9850
(520) 321-9005
Mailing address
1555 E RIVER RD, TUCSON, AZ 85718-5831
(520) 321-9850
(520) 321-9005
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
20272
AZ
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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