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Contact Information

BANNER-UNIVERSITY MEDICAL GROUP
535 N WILMOT RD STE 101
TUCSON, AZ85711-2683
 Phone: 520-694-5437
 Fax: 520-874-4751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for BANNER UNIVERSITY MEDICAL GROUP · (Female)

NPI Number 1932708328
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2020
Last updated 11/24/2025 - About 6 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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