Basic Information
Provider Information
NPI: 1730678533
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WINGET
FirstName: VERONICA
MiddleName:  
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Credential:  
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Mailing Information
Address1: 1501 N. CAMPBELL
Address2: BOX 245078
City: TUCSON
State: AZ
PostalCode: 857245078
CountryCode: US
TelephoneNumber: 5206266636
FaxNumber:  
Practice Location
Address1: 1501 N CAMPBELL AVE
Address2:  
City: TUCSON
State: AZ
PostalCode: 857240001
CountryCode: US
TelephoneNumber: 5206266636
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2018
LastUpdateDate: 05/07/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XR76727AZY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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