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Specialty details in registry · Tucson, AZ

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At a glance

4824 W Bluebell Way, Tucson, AZ 85742-4120

NPPES record updated Jan 20, 2026. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4824 W Bluebell Way
Tucson, AZ 85742-4120
Professional details: NPI, taxonomy & registry record
NPI1639038003
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253J00000X
Enumeration date
Jan 20, 2026
Record updated
Jan 20, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253J00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4824 W Bluebell Way
Tucson, AZ 85742-4120
Phone
(520) 979-0575
Mailing address
4824 W BLUEBELL WAY

TUCSON, AZ 857424120
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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