Organization
EVAN W KLIGMAN M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN W KLIGMAN MD (OWNER PROVIDER)
(520) 742-2200
Entity
Organization
Contact information
Practice address
4635 E FORT LOWELL RD, TUCSON, AZ 85712-1110
(520) 326-9355
(520) 795-1445
Mailing address
4635 E FORT LOWELL RD, TUCSON, AZ 85712-1110
(520) 326-9355
(520) 795-1445
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127585
HEALTHNET
AZ
05
—
207317
—
AZ
01
—
AZ0841483
BCBS
AZ
01
—
D80158421
RAILROAD MEDICARE
—
Enumeration date
01/30/2007
Last updated
06/29/2015
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