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Contact Information

AUDREY W TUBERVILLE, MD
3601 S 6TH ST
EYE CLINIC
TUCSON, AZ85723
 Phone: 520-792-1450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for AUDREY W TUBERVILLE · (Female)

NPI # 1003967142
Status Active
Credentials MD
Entity Individual
Enumeration date 01/16/2007
Last updated 04/13/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 35431
  • TN Medicaid 3187169
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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