Basic Information
| Provider Information | |||||||||
| NPI: | 1730756701 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARTINEZ | ||||||||
| FirstName: | ARIZA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 245114 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857245040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206267221 | ||||||||
| FaxNumber: | 5206266943 | ||||||||
| Practice Location | |||||||||
| Address1: | 1501 N CAMPBELL AVE RM 4401 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857245302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206267221 | ||||||||
| FaxNumber: | 5206266943 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2021 | ||||||||
| LastUpdateDate: | 06/09/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | BP10074444 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207L00000X | R79473 | AZ | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.