Provider First Line Business Practice Location Address:
5301 E GRANT ROAD
Provider Second Line Business Practice Location Address:
TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85712-2805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-324-1922
Provider Business Practice Location Address Fax Number:
520-324-1088
Provider Enumeration Date:
10/19/2006