Provider First Line Business Practice Location Address:
350 N. WILMOT ROAD
Provider Second Line Business Practice Location Address:
ST JOSEPHS HOSPITAL O'RIELLY CARE CENTER
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-873-5182
Provider Business Practice Location Address Fax Number:
520-873-5520
Provider Enumeration Date:
08/19/2006