Individual
IVAN PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 508-2157
Mailing address
2543 W VEREDA DE LA TIERRA, TUCSON, AZ 85746-8017
(520) 909-4094
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
011545
AZ
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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