Provider First Line Business Practice Location Address:
5880 W LA CHOLLA BLVD
Provider Second Line Business Practice Location Address:
#150 CASAS ADOBES FAMILY PRACTICE
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-751-3602
Provider Business Practice Location Address Fax Number:
520-547-5761
Provider Enumeration Date:
05/02/2006