OLD PUEBLO PEDIATRICS is a contractor in Tucson, AZ. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). OLD PUEBLO PEDIATRICS NPI is 1376723999. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3043 W INA RD STE 115
TUCSON, AZ
ZIP 85741-107
Phone: (520) 797-7070
Fax: (520) 797-7077
The provider's authorized official is John Ray Bean .
The authorized official title is President and has the following contact phone number (520) 797-7070.
The CLIA number assigned to this NPI record is 03D1051772 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/12/2007 and was last updated on 11/12/2007.