Organization Name: | DHHS-PHS, IHS TUCSON AREA, IHS TUCSON |
NPI Number: | 1922061761 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KURT PRIESSMAN (ACCOUNTING AND BUDGET OFFICER) |
Mailing Address: | Highway 86 At Topawa Road Sells |
State: | AZ US |
Postal Code: | 85634 |
Phone Number: | 5203837251 |
Fax Number: | 5203837216 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |