Provider First Line Business Practice Location Address:
ARIZONA HEALTH SCIENCES CENTER
Provider Second Line Business Practice Location Address:
1501 N. CAMPBELL AVE., #3341
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85724-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-626-6077
Provider Business Practice Location Address Fax Number:
520-626-2881
Provider Enumeration Date:
06/22/2006