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Organization

CARONDELET MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA REGISTER (SENIOR VICE PRESIDENT)
(520) 872-7076
Entity
Organization

Contact information

Practice address
630 N ALVERNON WAY STE 251, TUCSON, AZ 85711-1879
(520) 319-3283
(520) 319-3982
Mailing address
PO BOX 29347, PHOENIX, AZ 85038-9347
(520) 872-7000
(520) 872-7969

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0546
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
0585
213ES0103X
Foot & Ankle Surgery Podiatrist
0666
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
647
AZ

Other

Enumeration date
01/15/2010
Last updated
08/04/2010
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