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Contact Information

OTTFRIED VONWALDENBURG, MD
7900 S J STOCK RD
TUCSON, AZ85746-7012
 Phone: 520-295-2503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for OTTFRIED VONWALDENBURG · (Male)

NPI # 1013091446
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 07/09/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 0420005828
  • AZ Medicaid 850471
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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