Basic Information
Provider Information
NPI: 1992753149
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURTISS
FirstName: JOHN
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
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Mailing Information
Address1: 5055 E BROADWAY BLVD STE A100
Address2: ARIZONA COMMUNITY PHYSICIANS PC
City: TUCSON
State: AZ
PostalCode: 857113629
CountryCode: US
TelephoneNumber: 5203270460
FaxNumber: 5207950225
Practice Location
Address1: 5700 E PIMA ST
Address2: SUITE G
City: TUCSON
State: AZ
PostalCode: 85712
CountryCode: US
TelephoneNumber: 5207215350
FaxNumber: 5205475749
Other Information
ProviderEnumerationDate: 05/04/2006
LastUpdateDate: 04/21/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X9870AZY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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