Provider First Line Business Practice Location Address:
1501 N. CAMPBELL AVENUE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SURGERY ROOM 4310
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85724-5066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-250-1140
Provider Business Practice Location Address Fax Number:
520-529-3629
Provider Enumeration Date:
01/19/2006