Provider Demographics
NPI:1316798275
Name:ADULT AND GERIATRIC SERVICES OF ARIZONA
Entity type:Organization
Organization Name:ADULT AND GERIATRIC SERVICES OF ARIZONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARI
Authorized Official - Middle Name:J
Authorized Official - Last Name:OROZCO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:520-651-3329
Mailing Address - Street 1:247 S PLACITA ALDACO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-3733
Mailing Address - Country:US
Mailing Address - Phone:520-651-3329
Mailing Address - Fax:226-270-4516
Practice Address - Street 1:247 S PLACITA ALDACO
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-3733
Practice Address - Country:US
Practice Address - Phone:520-651-3329
Practice Address - Fax:226-270-4516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty