Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 12369 | AZ |
N | 111NI0900X | Internist | 12369 | AZ |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 12369 | AZ |
NPI | 1053350728 |
---|---|
Provider Name | Dr. Jonathan R Insel |
First Address | Tucson, AZ 85711-3629 |
Second Address | Tucson, AZ 85715-3850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E00199 | (02) |