Provider First Line Business Practice Location Address:
UNIVERSITY OF ARIZONA
Provider Second Line Business Practice Location Address:
1501 N. CAMPBELL AVE. RM 5411
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85724-5063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-626-0478
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/26/2007