Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 20969 | AZ |
NPI | 1033183785 |
---|---|
Provider Name | Dr. Debra J Townsend |
First Address | Tucson, AZ 85712-1225 |
Second Address | Tucson, AZ 85712-1225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 16/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100010884 | R.R. MEDICARE PIN (01) | AZ |
E12482 | (02) | AZ |