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GRACE MEDICAL GROUP LLC NPI 1215603964


NPI Information

NPI: 1215603964
Provider Name: GRACE MEDICAL GROUP LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2675 N WYATT DR
TUCSON, AZ
ZIP 85712
Phone: (520) 260-0937
Get Directions

GRACE MEDICAL GROUP LLC is a geriatric medicine family medicine in Tucson, AZ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. GRACE MEDICAL GROUP LLC NPI is 1215603964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2675 N WYATT DR
TUCSON, AZ
ZIP 85712-107
Phone: (520) 260-0937
Fax: (520) 320-0688

The provider's authorized official is William Douglas Martz .
The authorized official title is Owner/ceo and has the following contact phone number (520) 260-0937.

The enumeration date for this NPI number is 8/20/2021 and was last updated on 8/20/2021.


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
1207QG0300XFamily MedicineGeriatric MedicineYes

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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