Basic Information
| Provider Information | |||||||||
| NPI: | 1053350728 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | INSEL | ||||||||
| FirstName: | JONATHAN | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5055 E BROADWAY BLVD STE A-100 | ||||||||
| Address2: | ARIZONA COMMUNITY PHYSICIANS | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857113629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5203270460 | ||||||||
| FaxNumber: | 5207950225 | ||||||||
| Practice Location | |||||||||
| Address1: | 6369 E TANQUE VERDE RD | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857153850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5208865534 | ||||||||
| FaxNumber: | 5208865577 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2006 | ||||||||
| LastUpdateDate: | 05/08/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 12369 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RE0101X | 12369 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.