Individual
EVAN W KLIGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
2802 N ALVERNON WAY, SUITE 200, TUCSON, AZ 85712-1500
(520) 326-0850
(520) 326-0849
Mailing address
2802 N ALVERNON WAY, SUITE 200, TUCSON, AZ 85712-1500
(520) 326-0850
(520) 326-0849
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
26437
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207317
—
AZ
01
—
Z113016
MEDICARE PTAN
AZ
Enumeration date
07/08/2006
Last updated
06/29/2015
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