| Carondelet Medical Group, Inc | |
|
2202 N. Forbes Blvd Tucson AZ 85745-1412 | |
| (520) 872-7790 | |
| (520) 872-7929 |
| Full Name | Carondelet Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2202 N. Forbes Blvd, Tucson, Arizona |
| Authorized Official Name and Position | Christen A Castellano (EXECUTIVE VICE PRESIDENT, CHIEF STR) |
| Authorized Official Contact | 5208727638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carondelet Medical Group, Inc 2202 N. Forbes Blvd Tucson AZ 85745-1412 Ph: (520) 872-7790 | Carondelet Medical Group, Inc 2202 N. Forbes Blvd Tucson AZ 85745-1412 Ph: (520) 872-7790 |
| NPI Number | 1659326585 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659326585 | NPI | - | NPPES |
| 653298 | Medicaid | AZ |
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