Organization
PANACEA PHYSICIAN PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPAK BABU K C MD (SOLE MEMBER)
(520) 226-4338
Entity
Organization
Contact information
Practice address
77 CALLE PORTAL STE B260A, SIERRA VISTA, AZ 85635-2998
(520) 226-4338
(866) 337-8432
Mailing address
77 CALLE PORTAL STE B260A, SIERRA VISTA, AZ 85635-2998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42112
AZ
Other
Enumeration date
12/12/2015
Last updated
01/20/2016
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