Organization · Type 2 NPI
Tucson Concussion Center LLC
Adolescent Medicine (Family Medicine) Physician · Tucson, AZ
NPI number
1114306917
Active
Practice location
5199 E Farness Dr, Suite 101
Tucson, AZ 85712-2134
Mailing address
5199 East Farness, Suite 101
Tucson, AZ 85712-2134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | None listed |
| Vision Therapy Optometrist | 152WV0400X | None listed |
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | None listed |
| Physical Therapist | 225100000X | None listed |
Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
2 other providers at this address
About NPI 1114306917
Tucson Concussion Center LLC's National Provider Identifier is 1114306917, issued on May 26, 2015. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Tucson, AZ. The record was last updated on Nov 25, 2015.