Provider First Line Business Practice Location Address:
1501 N CAMPBELL AVE RM 5341
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ARIZONA 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:
85724-5073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-626-6758
Provider Business Practice Location Address Fax Number:
520-626-6986
Provider Enumeration Date:
08/27/2009