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Individual

CHAD D VISCUSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-2800
(520) 874-6863
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
(520) 874-3425

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34010
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
940983
AZ
Enumeration date
11/20/2006
Last updated
12/28/2007
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