Provider First Line Business Practice Location Address:
6200 N. LA CHOLLA BLVD.
Provider Second Line Business Practice Location Address:
NORTHWEST MEDICAL CENTER
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-742-9000
Provider Business Practice Location Address Fax Number:
520-469-8591
Provider Enumeration Date:
02/13/2007