Organization
CENTER FOR PAIN MANAGEMENT LLC
Active
Other names
TUCSON UROLOGIC SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
4745 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
(520) 506-0100
(520) 485-5440
Mailing address
PO BOX 841205, DALLAS, TX 75284-1205
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155229
—
AZ
01
—
OTC9330
STATE LICENSE
AZ
Enumeration date
07/24/2006
Last updated
08/14/2024
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