| Madera Medical Center, PC | |
|
100 E Ajo Way Tucson AZ 85713-6105 | |
| (520) 889-8879 | |
| (520) 294-2911 |
| Full Name | Madera Medical Center, PC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 100 E Ajo Way, Tucson, Arizona |
| Authorized Official Name and Position | Gerald B Roth (PRESIDENT) |
| Authorized Official Contact | 5208898879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madera Medical Center, PC 100 E Ajo Way Tucson AZ 85713-6105 Ph: (520) 889-8879 | Madera Medical Center, PC 100 E Ajo Way Tucson AZ 85713-6105 Ph: (520) 889-8879 |
| NPI Number | 1841563244 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 06/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841563244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2224 (Arizona) | Primary |
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