Provider First Line Business Practice Location Address:
3838 N. CAMPBELL AVENUE
Provider Second Line Business Practice Location Address:
BUILDING 2, CLINIC E
Provider Business Practice Location Address City Name:
TUSCON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-694-8888
Provider Business Practice Location Address Fax Number:
520-694-3941
Provider Enumeration Date:
06/12/2007