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Individual

LISA GOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 874-3500
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
32519
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
859598
AZ
01
P00185007
RR MEDICARE
AZ
01
Z106077
# FOR SOUTHWEST PET INST.
AZ
01
Z65460
# FOR SOUTHWEST PET INST.
AZ
Enumeration date
02/10/2006
Last updated
05/29/2008
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