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Contact Information

MARY O CONNELLY, MD
5301 E GRANT RD
TUCSON, AZ85712-2805
 Phone: 520-795-8188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARY O CONNELLY · (Female)

NPI # 1114972783
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 08/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 68491
  • AZ Medicaid 937295
Hospital affiliation(s)
  • TUCSON MEDICAL CENTER - (Acute Care)
    5301 EAST GRANT ROAD
    TUCSON, AZ 85712
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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