| Organization Name: | EPOCH - SOUTHERN ARIZONA LIMITED LIABILITY COMPANY |
| NPI Number: | 1548658503 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE HOUSE (AUTHORIZED OFFICIAL) |
| Mailing Address: | 4951 E Grant Rd Tucson |
| State: | AZ US |
| Postal Code: | 857122774 |
| Phone Number: | 5204480401 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2014 |
| NPI Last Update Date: | 09/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |