Basic Information
Provider Information
NPI: 1376648568
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARSONY
FirstName: NORA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5055 E. BROADWAYBLVD
Address2: A-100 ARIZONA COMMUNITY PHYSICIANS
City: TUCSON
State: AZ
PostalCode: 85711
CountryCode: US
TelephoneNumber: 5203270460
FaxNumber: 5207950225
Practice Location
Address1: 5601 N ORACLE RD STE 101
Address2:  
City: TUCSON
State: AZ
PostalCode: 857043981
CountryCode: US
TelephoneNumber: 5205475836
FaxNumber: 5205475841
Other Information
ProviderEnumerationDate: 09/13/2006
LastUpdateDate: 05/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X28557AZY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

ID Information
IDTypeStateIssuerDescription
12530901AZMEDICARE PTANOTHER


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