Provider First Line Business Practice Location Address:
1501 N. CAMPBELL AVE
Provider Second Line Business Practice Location Address:
70PC PSYCHIATRY DEPARTMENT
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-626-6255
Provider Business Practice Location Address Fax Number:
520-626-4070
Provider Enumeration Date:
08/30/2006