Breast Center Of Southern Arizona Llc

LBN: Breast Center Of Southern Arizona Llc
Breast Center Of Southern Arizona Llc is an health care organization with primary practice located at 5230 E Farness Dr Suite 104, Tucson AZ 85712-2141. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Breast Center Of Southern Arizona Llc can be contacted via phone (520) 319-6686, or through Whitacre, Eric B via phone (520) 319-6686.

Contact Information

Primary practice address
5230 E Farness Dr Suite 104 Tucson AZ 85712-2141
Phone: (520) 319-6686
Fax: (520) 319-6696
Website:
Map and Directions
Authorized official contact:
Name: Whitacre, Eric B Doctor of Medicine (MD)
Phone: (520) 319-6686

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32120 Arizona

Profile Details

NPI number 1467552273
LBN Legal business name Breast Center Of Southern Arizona Llc
DBA Doing business as
Authorized official Whitacre, Eric B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467552273 NPPES
Arizona MEDICAID 829426

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