Individual
XIAOSHAN GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-4111
Mailing address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 626-4111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R80200
AZ
207RR0500X
Rheumatology Physician
Primary
R80200
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2023
Last updated
06/12/2026
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