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SOUTHERN ARIZONA INFECTIOUS DISEASE SPECIALISTS PLC NPI 1063733939


NPI Information

NPI: 1063733939
Provider Name: SOUTHERN ARIZONA INFECTIOUS DISEASE SPECIALISTS PLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 03D1092088

Address:
5240 E KNIGHT DR
SUITE 114
TUCSON, AZ
ZIP 85712
Phone: (520) 318-9681
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SOUTHERN ARIZONA INFECTIOUS DISEASE SPECIALISTS PLC is an infectious disease internal medicine in Tucson, AZ. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. SOUTHERN ARIZONA INFECTIOUS DISEASE SPECIALISTS PLC NPI is 1063733939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5240 E KNIGHT DR
SUITE 114
TUCSON, AZ
ZIP 85712-122
Phone: (520) 318-9681
Fax: (520) 325-6774

The provider's authorized official is Clifford Paul Martin .
The authorized official title is Provider/authorized Official and has the following contact phone number (520) 318-9681.

The CLIA number assigned to this NPI record is 03D1092088 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/15/2010 and was last updated on 10/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1536238MEDICAIDARIZONA
2Z139823MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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