| Organization Name: | ST BERNADETTE INTEGRATIVE MEDICAL CARE, P.C. |
| NPI Number: | 1013280429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CYNTHIA E MILEY (PRESIDENT) |
| Mailing Address: | 1140 N Rosemont Blvd Tucson |
| State: | AZ US |
| Postal Code: | 857124813 |
| Phone Number: | 5202983800 |
| Fax Number: | 5202960979 |
| NPI Enumeration Date: | 02/15/2012 |
| NPI Last Update Date: | 02/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 19248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |