Provider First Line Business Practice Location Address:
4300 E SUNRISE DR
Provider Second Line Business Practice Location Address:
ATHLETIC TRAINING OFFICE
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85718-4300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-577-5090
Provider Business Practice Location Address Fax Number:
520-577-5094
Provider Enumeration Date:
07/31/2007